Biliary System

Last updated (28 October 2003)

No stone? Click on the image to download a larger version
An unsuspected stone has been discovered in the bile duct during the course of a laparoscopic cholecystectomy.
What are the management options?
What does this image show?
Careful clinical follow up
Laparoscopic exploration and extraction
Conversion to open exploration extraction and placement of a T tube
Post operative ERCP
Placement of a fine bore tube in the bile duct via the cystic duct
Click me for the answer.

Adrian P. Ireland