Abstract

A 55-year-old woman presented with recurrent biliary colic for the past 10 months. She had undergone an open cholecystectomy with common bile duct (CBD) exploration 14 months prior to presentation. Transabdominal ultrasound revealed a dilated CBD (11 mm), with echogenic material in lower third of the duct. Her complete blood counts and liver function tests were normal. An endoscopic retrograde cholangiography (ERC) also showed a dilated CBD but no filling defects ([Fig. 1 a]).

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