cbd stone
Why a Single Contrast Injection Can Be Fatal...
Video case: why a aingle contrast injection can be fatal in acute aholangitis?
When One Scope Reveals Three Diagnoses
Clinical case: when one scope reveals three diagnoses. A 38-year-old woman. Acute pancreatitis grade A, with acute cholangitis and lower CBD stone on MRCP. On CT, there was also an asymptomatic ileal...
The "Sand" Signal — Adapting Strategy...
The Patient & Presentation: Patient: 90-year-old male.Condition: Acute cholangitis, stabilized with 5 days of antibiotics.Imaging: MRCP suggested a 25 mm "Mega-CBD" with a seemingly...
5 Things That Make Post-cholecystectomy ERCP...
A 28-year-old woman, five days post laparoscopic cholecystectomy with a transcystic drain. Routine cholangiogram reveals CBD stones. She's referred for ERCP. What followed was a case that illustrates...
Navigating the Crater: Strategies for Cannulation...
Navigating the Crater: Strategies for Cannulation and Management of the Intradiverticular Papilla. Patient Anatomy Type III Periampullary Diverticulum Objective Cannulation and clearance of a 10 mm CBD...
A Common Bile Duct Stone as we see during Laparoscopic...
In choledochoscopy, a common bile duct stone is directly visualized after exploration of the CBD. Choledochoscopy turns a blind procedure into an illuminated one, replacing guesswork with optics and anatomy...
Laparoscopic Common Bile Duct Exploration with...
Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is generally accepted as first line management for common bile duct (CBD) stones. CBD exploration, either by open or laparoscopic...
Modern Approach to a Complex Gallstone Problem
33 years old patient referred for acute severe cholangitis with an elarged CBD and 8 mm stone. Multiple Stones in the gallbladder. The Problem: Why This Wasn't Standard 1. Acute Cholangitis: This...
But They Had a Roux! Dealing with CBD Stones...
This talk was presented at the CBDE: Who, How and Where? Session by S. Julie-Ann Lloyd MD, PhD on March 29, 2023 during the SAGES 2023 Annual Meeting in Montréal, Canada.
ERCP for Large CBD Stones
ERCP for large CBD stones. Patient: 75 years old, underwent laparoscopic cholecystectomy 10 years ago. Presenting Symptoms: Abdominal pain and abnormal liver function tests. Imaging: MRI...
ERCP for Large CBD Stone
Endoscopic video case: 55 years old man with acute cholangitis. - under oral anti diabetic medication since 20 years. - acute cholangtis related to a 14 x 25 mm large CBD stone. Cholecysyctomy done...
Robotic Assisted Common Bile Duct Exploration...
This talk was presented at the SS21: Biliary/Acute Care Video Session session by David Ritchie MD, March 30, 2023 during the SAGES 2023 Annual Meeting in Montréal, Canada.
Hourglass Gallbladder Remnant Concomitant with...
Surgical video case: gallbladder anatomy is highly variable, and surgeons must be prepared to identify anomalies of form, number, and position. Variants include gallbladder agenesis, diverticulum, duplication,...
Brown Oval CBD Stone Extraction
Large brown oval CBD stone extraction. Performed by Ahmad Hormati Shahid Beheshti hospital, Qom, Iran.
Choledochoduodenostomy as a Surgical Treatment...
Surgical treatment could be an alternative for patients with recurring CBD stones. However, surgical treatment is a more complex and invasive method than ERCP, and should be reserved for selective patients...
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