Hassan Mumtaz, Hajirah Khalid, Hassaan Ahmad Jasra, Gul e Saba Bukhari, Haji Ahmad Jasra, Tehreem Fatima
ERCP can be used to remove stones in Common bile duct (Choledocolithiasis). In some cases, a stent is placed to facilitate bile flow and prevent impaction of stones. Here we present a patient with history of cholecystectomy and ERCP with stent placement 1 year back now presenting with sign and symptoms of obstructive jaundice. Ultrasonography showed stones in stent with no intrahepatic dilatation of biliary channels. Open laparotomy, CBD exploration, stent removal and choledocho duodenostomy was performed. Per-op findings were stones, sludge along with stent in the CBD.