Volume 1, Issue 3, Pages (November 2016)

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Volume 1, Issue 3, Pages 53-54 (November 2016) Successful management of a very large common hepatic duct stone in a patient with pancreaticoduodenectomy by use of cholangioscopy and electrohydraulic lithotripsy  Hossein Movahed, MD, Mohamed Magdy Abdelfatah, MD, Sumyra Kachru, MD, Amit Raina, MD  VideoGIE  Volume 1, Issue 3, Pages 53-54 (November 2016) DOI: 10.1016/j.vgie.2016.08.011 Copyright © 2016 The Authors Terms and Conditions

Figure 1 A, Large filling defect in common hepatic duct on MRCP. B, Dilated intrahepatic ducts on MRCP. C, Unsuccessful attempt at removal of stone with extraction balloon. D, Electrohydraulic lithotripsy probe could not be lined up with a large fragment of the stone due to the stone's location. E, Use of sphincterotome to guide the electrohydraulic lithotripsy probe. F, Electrohydraulic lithotripsy. G, Two stents placed after second ERCP. H, Removal of stone fragments with extraction balloon. I, No residual stone on occlusion cholangiogram at the end of the third ERCP. VideoGIE 2016 1, 53-54DOI: (10.1016/j.vgie.2016.08.011) Copyright © 2016 The Authors Terms and Conditions