PMC6280224_01
Case # 1, Sludge (arrow) coming from ampulla after sphincterotomy during ERCP.
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fig1
Sludge was removed from the duct (Figure 1).
PMC6280224_02
Case # 2, Dilated common bile duct with distal common bile duct stone (arrow), CT of Abdomen.
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fig2
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 # 2, Gallstone in duodenum removed by ERCP sphincterotomy, balloon dilation, and basket procedure.
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fig3
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 # 2, Mirena hormonal intrauterine device in uterus (arrow), CT of Abdomen.
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fig4
Mirena (levonorgestrel 20 mcg/24 hours for 5 years) intrauterine device had been placed two years earlier in 2015 (Figure 4).