PMC3959375_01
Endoscopic picture showing an upper major papilla (arrow) and a second major papilla (arrow head) located about 1 cm inferior to the upper one
AnnGastroenterol-25-260-g001.jpg
PMC3959375_01_AnnGastroenterol-25-260-g001.jpg
F1
Endoscopic retrograde cholangiopancreatography (ERCP) was performed showing a small biliary stone in the orifice of upper major papilla and the presence of a second major papilla located about 1 cm inferior to the upper one (Fig. 1).
Cannulation of upper and lower papilla demonstrates choledocholithiasis and a normal pancreatogram, respectively
AnnGastroenterol-25-260-g002.jpg
PMC3959375_01_AnnGastroenterol-25-260-g002.jpg
F2
Cannulation of upper and lower papilla showed a dilated common bile duct with stones and a normal pancreatogram, respectively (Fig. 2).