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ERCP in acute cholangitis

ERCP in acute cholangitis
Diagnosis and treatment of acute cholangitis with ERCP.
(A): Multiple small stones in the lower common bile duct (arrow). Ultrasonography had shown borderline dilatation of the common bile duct but no stones.
(B): After sphincterotomy and stone extraction, the common bile duct is free of stones.
ERCP: Endoscopic retrograde cholangiopancreatography.
Courtesy of Nezam Afdhal, MD.
Graphic 62967 Version 3.0