Impacted Minor Papilla Stone
3 months ago
Clinical video case: a 37 years old came with recurrent episodes of pancreatitis. CT-Images showed multiple parenchymal calcifications at head & uncinate process with a calcification on medial wall of duodenum & normal CBD. On further evaluation the stone was seen closer to the mucosal surface of D2. MRCP done, showed a pancreatic divisum with an impacted stone at minor papilla with dilated PD & surrounding few parenchymal calcifications. No other stones in PD. So, a Heubridge needle knife was used to do a minor-papillotomy / episiotomy of papilla to deliver the stone from minor papilla with minor extension of sphincterotomy.