PMC6462801_01
(A): MRCP showed a CBD stone in the lower CBD and multiple stones in gallbladder. (B): Fundus and body of gallbladder were gangrenous. (C): Laparoscopic transcystic duct choledochoscopy. (D): Removed the CBD stone by basket through choledochoscopy. (E): Transcystic duct CBD stone extraction by basket through choledochoscopy.
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Ultrasonography showed features of acute cholecystitis and choledocholithiasis, which was later confirmed by MRI cholangiogram (Fig.1A). During the operation, there was gangrenous changes of inflamed gallbladder. (Fig.1B). Choledocholithiasis was removed by endoscopic basket under the guidance of choledochoscopy (Fig.1C, D and E).