case_images: PMC6280224_01
case_images: Case # 1, Sludge (arrow) coming from ampulla after sphincterotomy during ERCP.
case_images: CRIGM2018-2390213.001.jpg
case_images: PMC6280224_01_CRIGM2018-2390213.001.jpg
case_images: fig1
case_images: Sludge was removed from the duct (Figure 1).
case_images: PMC6280224_02
case_images: Case # 2, Dilated common bile duct with distal common bile duct stone (arrow), CT of Abdomen.
case_images: CRIGM2018-2390213.002.jpg
case_images: PMC6280224_02_CRIGM2018-2390213.002.jpg
case_images: fig2
case_images: Review of the outside contrast enhanced CT of abdomen and pelvis showed dilatation of the common bile duct measuring 9 mm with a filling defect in the distal common bile duct consistent with choledocholithiasis (Figure 2) and mild mucosal enhancement of the gallbladder with pericholecystic inflammation compatible with a diagnosis of acute cholecystitis.
case_images: Case # 2, Gallstone in duodenum removed by ERCP sphincterotomy, balloon dilation, and basket procedure.
case_images: CRIGM2018-2390213.003.jpg
case_images: PMC6280224_02_CRIGM2018-2390213.003.jpg
case_images: fig3
case_images: A biliary sphincterotomy was performed followed by balloon sphincterotomy and complex balloon and basket guided removal were performed to fragment the stone into three large parts and remove it successfully (Figure 3).
case_images: Case # 2, Mirena hormonal intrauterine device in uterus (arrow), CT of Abdomen.
case_images: CRIGM2018-2390213.004.jpg
case_images: PMC6280224_02_CRIGM2018-2390213.004.jpg
case_images: fig4
case_images: Mirena (levonorgestrel 20 mcg/24 hours for 5 years) intrauterine device had been placed two years earlier in 2015 (Figure 4).