| Spontanous stone passage |
 |
ERCP
was performed for a
persistent colic attack lasting two
days. On admission endoscopic
evaluation showed a stone 2 cm in
diameter in the duodenum, which
passed the papilla spontaneously.
To the left of the upper edge of
the picture note the dilated papilla producing small amounts of bloodstained bile.
|
| Findings after a spontaneous stone passage |
 |
After
a severe colic attack endoscopy
reveals a triangular papillary orifice torn
presumably by a stone.
Sometimes a spontaneous perforation
of stones trough the papilla´s roof occurs. |
| Condition after spontanous stone passage with hemorrhage |
 |
An ERCP was performed for severe colic and dilated biliary duct in a sonoscan.
The orifice looks torn apart and is covered by a recent blood clot. Active
hemorrrhage is not visible. |