case_images: PMC11300095_01
case_images: CT scan of the abdomen with arrow indicating dilated intrapancreatic CBD with accumulation of debris and stones, mimicking a duodenal diverticulum.
case_images: CRIS2024-5536057.001.jpg
case_images: PMC11300095_01_CRIS2024-5536057.001.jpg
case_images: fig1
case_images: Upon review, this was felt to represent the intrapancreatic portion of the distal CBD (Figure 1).
case_images: Cholangiogram showing dilated and partially obstructed distal CBD stump.
case_images: CRIS2024-5536057.002.jpg
case_images: PMC11300095_01_CRIS2024-5536057.002.jpg
case_images: fig2
case_images: The patient underwent an outpatient ERCP with the successful removal of large amounts of food material, sludge, and white stones from the bile duct using a 15 mm balloon (Figures 2 and 3).
case_images: Balloon extraction of food material, sludge, and white stones. Noted by the advanced gastroenterologist to have a healthy appearing major papilla in the descending duodenum.
case_images: CRIS2024-5536057.003.jpg
case_images: PMC11300095_01_CRIS2024-5536057.003.jpg
case_images: fig3
case_images: The patient underwent an outpatient ERCP with the successful removal of large amounts of food material, sludge, and white stones from the bile duct using a 15 mm balloon (Figures 2 and 3).
case_images: Isolated distal CBD remnant indicated by white arrow, Roux limb of prior choledochojejunostomy indicated by white star, and pancreas indicated by white triangle.
case_images: CRIS2024-5536057.004.jpg
case_images: PMC11300095_01_CRIS2024-5536057.004.jpg
case_images: fig4
case_images: Abdomen was entered via the prior right subcostal incision and the dilated (to 1.5 cm) distal CBD remnant was identified and isolated (Figure 4).