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case_images: Endoscopic retrograde cholangiopancreatography demonstrating numerous gallstones and impacted cystic duct.
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case_images: ERCP was performed with stone removal, and numerous gallstones and cystic duct stones were visualized on fluoroscopy (Figure 1).
case_images: Cystic duct cannulation and stone removal, fluoroscopic (a) and endoscopic (b).
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case_images: A transpapillary gallbladder stent was attempted but not placed due to acute cystic duct angulation and tortuous anatomy (Figure 2).
case_images: Post-cystic duct disimpaction.
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case_images: Repeat cholangiogram showed no retained stones in the cystic duct (Figure 3).