PMC2397011_01
ERCP image of stone engaged in Dormia basket.
umj7701-056b-f1.jpg
PMC2397011_01_umj7701-056b-f1.jpg
fig1
The stone was successfully engaged into the basket (fig.1) but the basket could not be pulled through the ampulla.
Videofluroscopy image showing contrast in duodenum and fractured basket fragment in CBD.
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PMC2397011_01_umj7701-056b-f2.jpg
fig2
Repeat fluoroscopy with oral contrast confirmed retained basket in the CBD (fig 2).
ERCP image of basket fragment engaged in second Dormia basket
umj7701-056b-f3.jpg
PMC2397011_01_umj7701-056b-f3.jpg
fig3
Cholangiogram demonstrated single calculus which was removed along with the retained fragment of basket (see fig 3).
Fragment of fractured basket removed from CBD
umj7701-056b-f4.jpg
PMC2397011_01_umj7701-056b-f4.jpg
fig4
The remaining metal fragment was grasped with a further Dormia basket and removed (fig 4).