Atlas of Gastroenterological Endoscopy
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Stone stuck in the papilla 1
Stone stuck in the papilla After a severe colic attack ERCP shows a stone stuck in the papilla. Compression of the peripapillary tissue results in a beginning necrosis. Impossible intubation necessitates a precut alongside the stone. After EPT the stone is spontaneously released to the duodenum.
Stone stuck in the papilla 1
Stone stuck in the papilla Stone stuck in the papilla
Acute biliary colic and labatory signs of aggravating cholestasis indicated an ERCP. A small stone was pinched in the papilla. After a precut EPT disecting the roof of the papilla a stone passes into the duodenum. Image to the left: the stone. Image to the right: papilla after precut.
Stone stuck in the papilla 2
Stone stuck in the papilla In this picture a stone is found stuck in the papilla in a female patient, who had colicky pain the night before. With a little help by the ERCP- catheter the stone passes into the duodenum.