Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 5, Number 4, August 2012, pages 162-166

Successful Treatment of Mirizzi’s Syndrome Using SpyGlass Guided Laser Lithotripsy

Figures

Figure 1.
Figure 1. ERCP showing gallstones (two arrows), a long cystic duct and cystic duct stone causing Mirrizi’s syndrome (single arrow). Note the dilated common bile duct proximally (thick arrow).
Figure 2.
Figure 2. ERCP showing the remnant cystic duct with a stone impacted in it causing Mirrizi’s syndrome (arrow).
Figure 3.
Figure 3. A photograph showing the SpyGlass passing through the ampulla of Vater.
Figure 4.
Figure 4. Impacted cystic duct stone viewed via the Spyglass cholangioscope.
Figure 5.
Figure 5. Fragmented stone removed by a basket and emergining from the ampulla of Vater.
Figure 6.
Figure 6. ERCP showing the remnant cystic duct after its clearance by the Spyglass cholangioscope (arrow).
Figure 7.
Figure 7. ERCP showing an impacted large cystic duct stone causing Mirrizi’s syndrome.
Figure 8.
Figure 8. ERCP showing clearance of the cystic duct via the Spyglass cholangioscope.