Ampullary stone in chronic pancreatitis causing obstructive jaundice and cholangitis

Abstract

Cholangitis is very rarely caused by impaction of a pancreatic stone in the papilla. An elderly male presented with obstructive jaundice and cholangitis that was caused by an impacted pancreatic stone. He presented as fever of 2 weeks duration and was referred as case of periampullary neoplasm for palliative stenting. However, an endoscopic retrograde cholangiopancreatogram was done which revealed the impacted stone. Precut papillotomy was done to release the stone, which led to the resolution of cholangitis.