Aqui pode conhecer as candidaturas seleccionadas pelo júri do Prémio de Imagem Endoscópica 2020 para votação pelos sócios.
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Infinity stones in a choledochocele
Flávio Pereira, Diana Ramos, Marisa Linhares, Richard Azevedo, João Pinto, Eduardo Pereira, Rui Sousa, António Banhudo
Hospital Amato Lusitano - Unidade Local de Saúde de Castelo Branco
A 69-year-old woman was evaluated due to elevated liver enzymes. Abdominal ultrasound showed colelithiasis and dilation of the intrahepatic bile ducts and proximal segment of the common bile duct (CBD), with no identifiable obstructive cause. Endoscopic ultrasound confirmed dilated CBD and revealed a cystic dilation in the intra-ampullary segment of the CBD (23mm), consistent with a choledochocele. Several calculi were seen inside the CBD and the choledochocele. The patient underwent ERCP. Supra-papillary keedle-knife fistulotomy and balloon cathether were performed allowing extraction of multiple CBD stones. A biliary stent was also placed. She was then referred for cholecystectomy.
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