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2012•Afro-Egyptian Journal of Infectious and Endemic DiseasesOpen access

Image Case: Sausage Shaped Stone Extraction from the Common Bile Duct

Mohamed A. Radwan, Mohamed Emara, Ibrahim Ibrahim

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Abstract

A 60-year old male patient presented with recurrent obstructive jaundice. He gave history of chronic hepatitis C and cholecystectmy. When presented for the current episode of obstructive jaundice his lab was bilirubin total 5.1 mg/dl, bilirubin direct 4.1 mg/dl, prothrombin concentration 77%, Haemoglobin 11 gm%. ERCP showed oblong filling defect involving the lower one third of common bile duct. Extrcation balloon extracted this large stone that appears sausage shaped emerging from the duodenal papilla after precut sphincterotomy.

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A 60-year old male patient presented with recurrent obstructive jaundice. He gave history of chronic hepatitis C and cholecystectmy. When presented for the current episode of obstructive jaundice his lab was bilirubin total 5.1 mg/dl, bilirubin direct 4.1 mg/dl, prothrombin concentration 77%, Haemoglobin 11 gm%. ERCP showed oblong filling defect involving the lower one third of common bile duct. Extrcation balloon extracted this large stone that appears sausage shaped emerging from the duodenal papilla after precut sphincterotomy.

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Available abstract

A 60-year old male patient presented with recurrent obstructive jaundice. He gave history of chronic hepatitis C and cholecystectmy. When presented for the current episode of obstructive jaundice his lab was bilirubin total 5.1 mg/dl, bilirubin direct 4.1 mg/dl, prothrombin concentration 77%, Haemoglobin 11 gm%. ERCP showed oblong filling defect involving the lower one third of common bile duct. Extrcation balloon extracted this large stone that appears sausage shaped emerging from the duodenal papilla after precut sphincterotomy.

Key concepts: Major duodenal papilla, Obstructive jaundice, Common bile duct, Jaundice, Medicine, Common bile duct stone, Bile duct, Gastroenterology

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