208 results
Protruding / Bulging Papilla on ERCP biliary stone extraction

- Dr. Bibek Purbey

#Protruding #Bulging #Papilla #ERCP #endoscopy
on ERCP biliary stone ... gastroenterology #clinical #choledocholithiasis ... #stone
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... but there is a stone ... BileDuct #CBD #Stone ... #Choledocholithiasis
Choledocholithiasis on POCUS RUQ

Transducer positioned anteriorly over RUQ (top of the screen = anterior) demonstrating the
Choledocholithiasis ... Note the stone with ... lodged in the CBD (choledocholithiasis ... Herbst @EUSmkh #Choledocholithiasis
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
with Symptomatic Choledocholithiasis ... Predictors of choledocholithiasis ... strong - CBD stone ... Management #Algorithm #Choledocholithiasis
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Choledocholithiasis ... Intrahepatic stones
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary obstruction: Choledocholithiasis ... of symptomatic stones ... of strictures, Stone
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 • CBD stone visualized
Cholelithiasis - Risk of Choledocholithiasis ... High Risk • CBD stone ... Cholelithiasis #Risk #Choledocholithiasis
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Answer: MULTIPLE stones ... =choledocholithiasis
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Extrahepatic - Biliary: Choledocholithiasis ... Obstruction: Biliary stone
UROLITHIASIS 

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
UROLITHIASIS 80% of stones ... & cystine (1%) stones ... Struvite stones, ... Uric acid stone ... Cystine stones are