Video Case: Sphincterotomy after Small Pre-cut of the Major Duodenal Papilla using Standard Sphincterotome

Document Type : Images in Infectious and Endemic Diseases

Author

Tropical Medicine Department, Faculty of Medicine, Zagazig University, Egypt

Abstract

A 29-year old Egyptian female presented by pain in the right hypochondrium. Abdominal ultrasonography revealed mild dilatation of the common bile duct (CBD). On endoscopic retrograde cholangiopancreatography (ERCP) cannulation of the CBD was difficult.Small pre-cut for few millimeters upwards starting from the orifice of the major duodenal papilla using the standard shincterotome was performed .Then Cannulation of the CBD and sphincterotomy were successful. Small stone was extracted from the CBD by balloon

Main Subjects