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GIE.org upper quadrant pain with associated fever and chills, nausea, and vomiting. Informed consent was obtained from the patient. US of the right-upper quadrant revealed a biliary stent that had… Click to show full abstract
GIE.org upper quadrant pain with associated fever and chills, nausea, and vomiting. Informed consent was obtained from the patient. US of the right-upper quadrant revealed a biliary stent that had totally migrated into the distal common bile duct (CBD) and CBD dilation, with the proximal portion measuring 13.6 mm and midduct measuring 9.4 mm (Figs. 1 and 2). Intrahepatic ductal dilation was present as well. A decision was made to perform ERCP with subsequent use of cholangioscopically guided techniques (Video 1, available online at www.VideoGIE.org). ERCP showed the ampulla in the second portion of the duodenum without a biliary stent. Cholangiography
Journal Title: VideoGIE
Year Published: 2018
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