PMC5587932_01
MRCP showing a 4 mm (arrow) obstructing gallstone in the distal common bile duct.
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fig1
Further imaging with magnetic resonance cholangiopancreatography (MRCP) showed the presence of a 4-millimeter obstructing gallstone within the distal common bile duct, without biliary duct dilation (Figure 1).
ERCP image of the gallstone (arrow) prior to removal.
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fig2
She underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and removal of her gallstone, with subsequent improvement in her liver enzyme abnormalities (Figure 2).