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Utilisation of cholecystostomy and cystic duct as a route for percutaneous cutting balloon papillotomy and expulsion of common bile duct stones
  1. Chwanrow Baban1,
  2. Simon Rajendran1,
  3. Deirdre O’Hanlon1,
  4. Micheal Murphy2
  1. 1Department of Surgery, South Infirmary Victoria University Hospital, Cork, Ireland
  2. 2Department of Radiology, South Infirmary Victoria University Hospital, Cork, Ireland
  1. Correspondence to Dr Simon Rajendran, simonrajendran{at}

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A 78-year-old male presented with jaundice, fever, rigors and right upper quadrant pain. Ultrasound demonstrated gallbladder empyema and common bile duct (CBD) stones with mild CBD dilatation. Medical morbidity and prior partial gastrectomy precluded endoscopic treatment. Under ultrasound guidance an 8fr Navarre pigtail drain (Bard Limited, UK) was inserted into the gall bladder and left insitu for 4 weeks. After 4 …

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