PMC5357523_01
MRI: coronal section shows gallstones and the pointed filling failure in the distal common bile duct.
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Complementary magnetic resonance showed an irregular filling failure in the CBD and gallstones (Figure 1).
Duodenoscopy shows topic major papilla on the edge of a diverticulum filled with food bezoar (right upper quadrant).
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Duodenoscopy found the major papilla on the edge of an anterior diverticulum (Figure 2) and retrograde cholangiography confirmed the irregular filling failure at the distal CBD.
Extraction of a partially intact toothpick with a trapezoid basket.
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After sphincterotomy, extraction of a partially intact toothpick (Figures 3 and 4) was successfully accomplished.
Extracted toothpick.
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After sphincterotomy, extraction of a partially intact toothpick (Figures 3 and 4) was successfully accomplished.