ERCP Stone Extraction !! পিত্ত নালীর পাথর বের করা!! #BD_ENDOSCOPY
#BD_ENDOSCOPY
Professor Dr. Hasan Masud
MBBS, MD (Gastroenterology)
Senior. Consultant & Interventional Gastroenterologist
Department Of Gastroenterology.
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BD ENDOSCOPY
Procedure: E. R. C. P with Stone Extraction
Indication Choledocholithiasis with cholelithiasis on MRCP
Medication: Under sedation
FINDINGS:
PAPILLA: A juxtra papillary diverticulum is seen at the papilla. No bile flow seen.
PANCREATOGRAM: Not attempted.
CHOLANGIOGRAM: The CBD, CHD and the intrahepatic ducts are
dilated. Multiple filling defects suggestive of stones are seen in the CBD and CHD Gall bladder is well opacified and shows multiple filling defects. Papillotomy is done with conventional papillotome. Huge thick pus was coming out through the ampulla. Billiary balloon sweeping revealed multiple stones. Occlusion cholangiogram confirms complete cl
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