Failed CBD cannulation in altered anatomy- T Tube guided Rendezvous to the rescue

Abstract Text 59 year old male presented with very high T Tube output. Patient had undergone lap chole with CBD exploration 40 days prior for acute cholecystitis and suspicious CBD stones. A T Tube was placed intraoperatively as a distal CBD stone was suspected and could not be removed. Post operatively the patient had very high T Tube output. Patient had history of a Bilroth II gastro jejunostomy for a benign duodenal stricture 9 years back. A pediatric colonoscope failed to identify ampulla. Side Viewing Scope could not identify papilla. arendezvous was doen from wire throught T Tube. A 10 Fr Soehendra dilator introduced for placeing another wire. 7FR DPT stent was placed. The previous wire was removed.The T Tube was blocked and removed after five days. Patients stent will be removed after 4 to 6 weeks with a sphincterotomy over the stent.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/1bd2a5dc-d390-412c-9eb4-09dd03ba6ef5/Uploads/16849_ERCP_T%20tube%20rendezvous.mp4

Publication History

Article published online:
27 March 2025