Case Report

Gallstone Ileus following Endoscopic Stone Extraction

Figure 2

Endoscopic retrograde cholangiopancreatography (ERCP) images on hospital day 57. (a) Long-standing huge stone in the common bile duct (arrows). (b) A large amount of biliary sludge (arrowheads) and the stone, which had been difficult to remove, were washed out by a balloon catheter inserted to drain biliary sludge and infected bile (unable to photograph the stone). (c) Enhanced CT image showing no stone or biliary sludge remaining in the common bile duct after cleaning.
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(a)
271571.fig.002b
(b)
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(c)