Abstract

The opening of the common bile duct and the main pancreatic duct often share a common channel at the ampulla of Vater. Gallstones residing in the common bile duct frequently become impacted in the ampulla of Vater, inciting pancreatitis in the adjacent organ. The opposite situation, impaction of pancreatic stones in the ampulla of Vater leading to obstructive biliary tract disease, has rarely been reported. The existence of this disorder and its optimal treatment remains largely unexplored. We report two cases of biliary tract obstruction caused by pancreatic duct (PD) calculi, successfully treated with two different endoscopic management approaches.

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