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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal <t>dilatation</t> (orange arrowheads).
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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal <t>dilatation</t> (orange arrowheads).
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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal <t>dilatation</t> (orange arrowheads).
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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal <t>dilatation</t> (orange arrowheads).
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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal <t>dilatation</t> (orange arrowheads).
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Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal dilatation (orange arrowheads).

Journal: World Journal of Gastroenterology

Article Title: Endoscopic ultrasound-guided transhepatic antegrade stone removal for choledocholithiasis after pancreaticoduodenectomy: A case report and review of literature

doi: 10.3748/wjg.v32.i8.116856

Figure Lengend Snippet: Imaging confirmation of common hepatic duct stones following pancreaticoduodenectomy. A: Contrast-enhanced computed tomography image revealing a hyperdense focus within the common hepatic duct (yellow arrowheads); B: Magnetic resonance cholangiopancreatography demonstrating a filling defect in the common hepatic duct (yellow arrowheads) with mild intrahepatic ductal dilatation (orange arrowheads).

Article Snippet: The narrow biliary-enteric anastomosis was sequentially dilated by using 6 mm/7 mm/8 mm and 8 mm/9 mm/10 mm balloon dilatation catheters (CRETM Wireguided, Boston Scientific, MA, United States) ( ).

Techniques: Imaging, Computed Tomography

Procedural steps of successful endoscopic ultrasound-guided transhepatic antegrade stone removal. A: Puncture of a bile duct branch in segment S2 of the liver using a fine-needle aspiration needle; B: Cholangiography confirming mildly dilated intrahepatic bile ducts and a hyperechoic nodule (stone) within the common hepatic duct (yellow arrowheads); C: A needle knife is used to incise the gastric wall and the liver parenchyma to establish a hepatoenteric tract; D: The guidewire is advanced across the biliary-enteric anastomosis into the jejunum; E: Dilation of the created hepatoenteric tract; F: Sequential balloon dilation of the biliary-enteric anastomosis; G: The stone within the common hepatic duct (orange arrowheads) is dislodged and pushed into the jejunum using a retrieval balloon catheter (yellow arrowheads); H and I: Placement of a nasobiliary drainage catheter across the biliary-enteric anastomosis.

Journal: World Journal of Gastroenterology

Article Title: Endoscopic ultrasound-guided transhepatic antegrade stone removal for choledocholithiasis after pancreaticoduodenectomy: A case report and review of literature

doi: 10.3748/wjg.v32.i8.116856

Figure Lengend Snippet: Procedural steps of successful endoscopic ultrasound-guided transhepatic antegrade stone removal. A: Puncture of a bile duct branch in segment S2 of the liver using a fine-needle aspiration needle; B: Cholangiography confirming mildly dilated intrahepatic bile ducts and a hyperechoic nodule (stone) within the common hepatic duct (yellow arrowheads); C: A needle knife is used to incise the gastric wall and the liver parenchyma to establish a hepatoenteric tract; D: The guidewire is advanced across the biliary-enteric anastomosis into the jejunum; E: Dilation of the created hepatoenteric tract; F: Sequential balloon dilation of the biliary-enteric anastomosis; G: The stone within the common hepatic duct (orange arrowheads) is dislodged and pushed into the jejunum using a retrieval balloon catheter (yellow arrowheads); H and I: Placement of a nasobiliary drainage catheter across the biliary-enteric anastomosis.

Article Snippet: The narrow biliary-enteric anastomosis was sequentially dilated by using 6 mm/7 mm/8 mm and 8 mm/9 mm/10 mm balloon dilatation catheters (CRETM Wireguided, Boston Scientific, MA, United States) ( ).

Techniques: