ERCP & BILIARY STONE EXTRACTION ON 03 July-2014 ERCP of - TopicsExpress

ERCP & BILIARY STONE EXTRACTION ON 03 July-2014 ERCP of Jahanzaib Khan 32 years male was carried out at AREC / LIver clinic, jail road , Lahore, who presented with obstructive jaundice due to choledocholithiasis. Durind ERCP, ampulla had normal mucosa & shape. After cannulation, guide-wire passed into the CBD, & then, the contrast was injected. The CBD was dilated with smooth distal tapering, due to inflammatory ampullary stenosis. Some sludge & one small stone present in the distal CBD. The intrahepatic ducts were also dilated. Ample sphincterotomy followed by balloon trawling resulted evacuation of sludge as well as small stone, after which free flow of bile seen. Plan: Repeat CBC, LFTs & Ultrasound after 2 weeks & follow. DR. MUHAMMAD IRFAN Assistant Professor of Medicine Endoscopist/ERCP Consultant

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