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Endoscopy 1980; 12(1): 46-49
DOI: 10.1055/s-2007-1021709
CASE REPORT

© Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Gallstone Migration Followed by Endoscopic Retrograde Cholangiography

M. Tanaka, S. Ikeda
  • Department of Surgery I, Kyushu University School of Medicine, Fukuoka, Japan
We wish to thank M. Yoshiharu Miyakawa for his help in preparing the illustrations.
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Publication History

Publication Date:
17 March 2008 (online)

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Summary

A case in which a medium-sized common bile duct stone spontaneously passed through the papilla into the duodenum is presented. The naturel course of this patient was followed by repeated endoscopic retrograde cholangiography. Acute ulcerous changes caused by the passage of a gallstone and a surprisingly quick recovery are demonstrated by vivid illustrations. The clinical significance of the phenomenon with regard to the patulous sphincter of Oddi or, in contrast, papillary stenosis, is discussed.

Key words:

ERCP - Choledocholithiasis - Spontaneous gallstone migration

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