Endoscopic restoration of completely transected and prolapsed common bile duct

Post written by Jorge Vargas, MD, from the Social Security System of Costa Rica, Hospital of Liberia, Guanacaste, Costa Rica. During a regular ERCP, a forceful stone extraction of a big stone was performed, and a frightening complication occurred. The common bile duct prolapsed into the duodenal lumen. After several cannulation attempts, we were able …

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EUS of bile-duct hydatid membrane

Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 28-year-old Indian man presented with acute cholangitis. Transabdominal ultrasonography showed a right-lobe liver cyst and dilated common bile duct (CBD). EUS was performed with a linear echoendoscope before ERCP to ascertain the cause of cholangitis. Linear EUS …

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Successful management of ischemic cholangiopathy

Saikiran Raghavapuram, MD, Mohit Girotra, MD, FACP, and Benjamin Tharian, MD, MRCP, FRACP, from the University of Arkansas for the Medical Sciences present this video case. We present a 63-year-old male with a history of orthotopic liver transplantation 3 years ago, who presented with cholestatic jaundice. Work up revealed severe stricture of proximal common bile …

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Suture material in the CBD causing recurrent stones

Omair Atiq, MD, and Deepak Agrawal, MD, from the Department of Internal Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical Center, in Dallas, Texas, USA, share this VideoGIE case, "Suture material in the common bile duct causing recurrent stones." We presented a case of an elderly female with recurrent episodes of …

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Cholangioscopic visualization of Fasciola hepatica

Shugo Fujibayashi, MD, from the Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University in Asahikawa, Hokkaido, Japan shares this video case "Intraductal cholangioscopic visualization of moving Fasciola hepatica." A 75-year-old Japanese male visited a private hospital with abdominal pain and jaundice in October 2013. Because magnetic resonance cholangiopancreatography showed a filling defect …

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