A cholangiogram was performed which revealed dilated intrahepatic ducts (IHD) with filling defects, most pronounced in the left hepatic duct. Balloon sweeps were performed in the distal CBD and a large stone removed.
Selective canullation of the left IHD was performed with the use of a sphincterotome and multiple balloon sweeps performed with retrieval of several stones, sludge and pus. A stricture was noted in the mid left IHD and despite multiple balloon sweeps unable to retrieve all the stones. A straight 7 Fr * 12 cm stent was placed to bridge the stricture.