A 50-year-old female patient from Madhya Pradesh was presented to the Gastroenterology department of Parul Sevashram Hospital with severe abdominal pain for 2 months. The patient had consulted earlier at multiple clinics and hospitals and was in extreme distress due to persistent pain. Upon investigations she was suspected to have multiple stones and hence without wasting any more time, the doctors planned an ERCP (Endoscopic Retrograde Cholangiopancreatography) procedure. "During the procedure, we were alarmed to see the entire biliary system stuffed completely with stones", said Dr. Dhaval Dave, Gastroenterologist at Parul Sevashram Hospital. "We started removing the stones from the Intrahepatic duct, hepatic duct, common bile duct and we removed around 80 stones of various sizes (up to 2 cm size) till the Ampulla. It was quite challenging to remove so many stones at one stretch, but we could complete the procedure in 2 hrs without any intraoperative events/bleeding," he added. With

Author-Shlok Talati