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Cholelithiasis with Choledocholithiasis.MRCP.Dr.Masfique A Bhuiyan FCPS

MRCP shows multiple stones in the common bile duct with cholelithiasis.
Flat papilla with elongated course of ampulla.
Pre-cut with needle knife
  Precut with needle knife 
  Cholangiogram with multiple stone shadow in CBD
Balloon sphincteroplasty by stone master
  Balloon swape with stone extraction balloon.
multiple stones comes out with dormia busket manipulation

Cholelithiasis with Choledocholithiasis.

ERCP STONE EXTRACTION DONE

Dr.Masfique A Bhuiyan FCPS