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- W1972548446 abstract "View Large Image Figure ViewerDownload (PPT)An 86-year-old man presented with a 2-month history of upper abdominal pain. There was a history of cholecystectomy and choledocholithotomy 7 years earlier for cholecystocholedocholithiasis, recurrent choledocholithiasis with endoscopic sphincterotomy and stone removal 6 years earlier, and choledocholithotomy with choledochojejunostomy 5 years before presentation for recurrent choledocholithiasis. Examination revealed mild tenderness in the epigastrium. Laboratory data included elevated hepatobiliary enzymes. On CT, a giant stratified stone was noted in the jejunum (A, arrow) together with dilated intrahepatic bile ducts. Endoscopic retrograde cholangiography demonstrated a 5 × 4-cm filling defect in the jejunum near the choledochojejunal anastomosis, and 2 stones, each 1 cm in diameter, in the bile duct (B). Because the patient refused laparotomy, the stones in the bile duct were removed endoscopically and the giant stone in the jejunum was left in place. Over a 1-year follow-up, the patient has remained asymptomatic." @default.
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- W1972548446 date "2003-09-01" @default.
- W1972548446 modified "2023-09-27" @default.
- W1972548446 title "Giant Jejunal Stone on ERCP" @default.
- W1972548446 doi "https://doi.org/10.1067/s0016-5107(03)00021-x" @default.
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