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(a) Bile duct dilatation especially in common and left intrahepatic duct was seen at ERCP. (b) After the procedure, biliary decompression was achieved.

(a) Bile duct dilatation especially in common and left intrahepatic duct was seen at ERCP. (b) After the procedure, biliary decompression was achieved.

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Although endoscopic retrograde cholangio-pancreatography (ERCP) is considered a safe procedure, it is associated with complications such as pancreatitis, bleeding and perforation of the bile duct, pancreatic duct and duodenum. In recent years, successful conservative treatment in selected patients with complications have increased. We present a cas...

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... opacification, the common bile duct was found to be 11 mm in diameter with a dilated left intrahepatic bile duct and two filling defects were seen in the common bile duct. Some sludge and one black pigment stone were removed with a Dormia basket after four attempts. After the procedure, bile duct decompression was demonstrated radiographically (Fig. 1), but successful bile flow towards the papilla was not achieved endoscopically and we also saw debris-like material in extracted ...

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