Korean J Gastroenterol.  2013 Sep;62(3):182-184. 10.4166/kjg.2013.62.3.182.

Refractory Bile Duct Stones Occurring at Hepaticoduodenostomy Site

• Kim MJ
• Cha SW
• Cho YD

• KMID: 1707203
• DOI: http://doi.org/10.4166/kjg.2013.62.3.182

Abstract

No abstract available.

MeSH Terms

Abdomen/ultrasonography
Adult
Bile Ducts, Intrahepatic
Cholangiopancreatography, Endoscopic Retrograde
Duodenum
Female
Fluoroscopy
Gallstones/*diagnosis/radiography/therapy
Humans
Lithotripsy
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Computed tomography images show large stones (black arrow) in distal portion of hepaticoduodenostomy site with dilatation of both intrahepatic duct.

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  Fig. 2. (A) Fluoroscopic image taken during endoscopic retrograde cholangiopancreatography demonstrates large bile duct stones at hepaticoduodenostomy site. (B) Duodenoscopic image shows impacted stone at the orifice of hepaticoduodenostomy site.

• 

  Fig. 3. (A) Direct cholangioscope was inserted into the bile duct. (B) Electrohydraulic lithotripy probe is seen adjacent to the stone.

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  Fig. 4. (A) Fluoroscopic image obtained during follow-up endoscopic retrograde cholangiopancreatography shows no residual filling defects in the bile duct. (B) Direct cholangioscope i-scan image shows red colored irregular intrahepatic bile duct mucosa.

Reference

References

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