ERCP Cases

ercp case
ercp case

CASES NO 1

In ERCP case, stone removal followed by stent insertion effectively treats bile leaks after cholecystectomy. ERCP case ensure proper bile flow and recovery.

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist 

CASE NO 2

A case of blocked previously placed stent with high bilirubin and severe infection (sepsis) which was cleared with multiple balloon trawls followed by placement of a plastic stent through it (blue plastic stent). The patient’s symptoms improved, infection resolved over the next 3 days and was discharged home with a normal bilirubin

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist
ercp case
ercp case
ercp case
ercp case
ercp case

ERCP CASE NO 3

Multiple hard stones removed in this young patient with jaundice and severe pain in the right upper area of abdomen. He left the hospital completely pain-free with complete resolution of jaundice

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

ERCP CASE NO 4

This patient presented with severe jaundice and was found to have a large ampullary tumour. The patient underwent one failed attempt at ERCP at another centre in Lahore as they could not locate the papillary orifice. Alhumdulillah Dr Fahd was able to place a metallic stent successfully with a steep drop in bilirubin and the jaundice resolved within a week.

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

ERCP CASE NO 5

A case of bile leak after cholecystectomy (gall bladder removal). Stent placed and was later removed after 8 weeks

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

ERCP CASE NO 6

Patient presented with jaundice and septic shock. After stabilizing the patient, we performed an urgent ERCP upon confirming common bile duct stones through imaging. We removed multiple stones and a large amount of sludge. The patient's condition improved drastically, and we discharged them two days later.

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

CASE NO 7

A very large stone removed from the bile duct

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

CASE NO 8

Multiple hard pigmented stones removed after sphincteroplasty

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist
ercp case
ercp case

CASE NO 9

Another case of large stone removal from bile duct. Patient presented with jaundice and severe sepsis (infection). Once imaging confirmed the large stone ad the cause and urgent ERCP was carried out with successful removal of the stone

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist

CASE NO 10

A case of large number of stones in bile duct. The first X ray film shows filling defects in bile ducts which are all stones and the second X ray film shows a clear duct. The patient vomited after the procedure and some stones were retrieved in the process. We don’t normally retrieve stones as they pass down the normal route of digestive tract and are excreted in the faeces

Dr Fahd Aziz Rana
MBBS, MRCP(UK),
FRCP (Glasgow), FRCP (Edin),
MRCP Gastroenterology(UK), FEBGH, Fellowship in Advanced Pancreatobiliary Medicine(UK)

Consultant Gastroenterologist and Interventional Endoscopist
ercp case
ercp case
ercp case