Afro-Egypt J Infect Endem Dis 2012 December;2(4):179

 

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

 

Radwan MI,Emara MH, Ibrahim IM

 

Tropical Medicine Department, Faculty of Medicine, Zagazig University,Egypt
drmmagdy@yahoo.com

 

                              

 

Comment

 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.