Endoscopic ultrasound-guided transgastric biliary metal stent placement after dilation with tapered-tip Teflon catheters and marking with a clip

V. Prachayakul, P. Aswakul, S. Leelakusovong
2012 Endoscopy  
We report the case of a 74-year-old man with known type 2 diabetes mellitus, hypertension, and retinal detachment who was referred for endoscopic retrograde cholangiopancreatography (ERCP) because of a fever and severe upper abdominal pain for a few days. An ultrasound of his upper abdomen showed a 4 × 5-cm heterogeneous hypoechoic area in the gallbladder fossa with intrahepatic bile duct dilatation, which it was suspected was due to gallbladder cancer. He therefore proceeded to ERCP for biliary drainage.
doi:10.1055/s-0032-1309857 pmid:23012005 fatcat:qcqnvw6jijcqblnftfp4f5zkzu