Abstract
A 70-year-old-women was admitted because of right upper abdominal pain. The patient developed obstructive jaundice with no evidence of choledocholithiasis. The patient’s condition was not improved by antibiotics, then we performed EPBD and tried to remove unidentified bile duct stone. However, stone was not extracted and just juxtrapapillary duodenal diverticulum was recognized by X-ray. After the treatment, the patient was recovered and was discharged. Five months after, similar symptoms like first attack were reccured. This time, a bile duct stone was identified by MRCP and, then we performed EST.
As the duodenal Papilla was located on the boundary of the diverticulum, EST was halfway done and additional EPBD was performed. The stone was removed successfully.
The recurrence of symptoms was not observed 15 months after the treatment.
This case indicated that endoscopic treatment would be considered before referring to surgery.
