Endoscopic management of common bile duct stump fistula after choledochojejunostomy: A case report

Figure 1 Computed tomography and magnetic resonance imaging findings. A: Axial computed tomography image showing a large common bile duct (CBD) stone; B: Axial magnetic resonance imaging image confirming the presence of a large CBD stone; C: Magnetic resonance cholangiopancreatography indicating a large CBD stone with marked dilation of intrahepatic and extrahepatic bile ducts (left arrow) and dilation of the pancreatic duct (right arrow).

Figure 2 Fistulography and endoscopic retrograde cholangiopancreatography findings. A: Fistulography indicating a residual stump fistula of the common bile duct (middle arrow), a choledochojejunostomy fistula (upper arrow), and opacification of the pancreatic duct (lower arrow); B: Endoscopic retrograde cholangiopancreatography cholangiogram showing mild dilation of the pancreatic duct; C: Successful placement of a stent in the pancreatic duct.

Figure 3 Endoscopic findings and papillary intervention. A: Endoscopic images of a markedly enlarged papillary orifice; B: Endoscopic confirmation of successful stent placement in the pancreatic duct; C: Papillary orifice closed using a hemostatic clip.