74 years man,
laparoscopie cholecytectomy 3 years ago; presented with abdominal pain and elevated liver test.
US and CT scan foind dilatated CBD with stone.
ERCP: stircuture in the first duodenum needing CRE balloon dilatation until 15mm.easy access to an intra diverticular papilla, one 7 mm CBD stone CBD 12 mm.
sphincterotomy and extraction of the stone.
Occlusion cholangiogram shows an empty CBD.
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https://www.youtube.com/watch?v=F3902g53r2w