Impacted Minor Papilla Stone

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added:
3 months ago
views:
683
specialty:
Gastroenterology

Case description

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.

tags: sphincterotomy Pancreatic divisum pancreatic duct drainage Impacted stone Pancreatitis Minor papilla stone pancreas parenchymal calcification duodenum CBD Heubridge needle knife


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