PMC5831835_01
Hemostatic clip on the ampulla of Vater.
CRIGM2018-8159451.001.jpg
PMC5831835_01_CRIGM2018-8159451.001.jpg
fig1
Subsequent endoscopic retrograde cholangiopancreatography (ERCP) showed a hemostatic clip on the ampulla of Vater, inadvertently placed at the time of recent EGD for bleeding control (Figure 1).
View of the ampulla of Vater following needle-knife fistulotomy, CBD cannulation, and pancreatic duct stent placement around the hemostatic clip.
CRIGM2018-8159451.002.jpg
PMC5831835_01_CRIGM2018-8159451.002.jpg
fig2
A needle-knife fistulotomy was then performed to obtain biliary access and the cholangiogram was unremarkable (Figure 2).