An 87 year-old male, with 10 months after cholecystectomy due to gallstones, presented 20 days of fever, diarrhea, jaundice and upper right quadrant pain. Abdominal sonography demonstrated the intrahepatic ducts, comom hepatic duct, and choledocho were dilated. Total Bilirrubine was of 3.0 mg/dl with a direct bilirrubine of 2.6 mg/dl and Alkaline Fosfatase of 812. Duodenoscopic sphincterotomy of the papilla of Vater was performed using a standard side-viewing duodenoscope.
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