Shakuntala Patil, a 74 year old female was in intermittent pain in her upper abdomen for last six months. Two days before admission, she had high fever and recurrent vomiting.
She was brought in a critical condition to Emergency Department of Wockhardt Hospitals, Nagpur. After providing emergency medical care, she was diagnosed to have multiple stones in Gall Bladder (in USG) and was successfully treated of the ailment by Dr. Piyush Marudwar, Consultant- Gastroenterology, Wockhardt Hospitals, Nagpur.
“Patient had multiple stones in her Gall Bladder which is not a very usual case. Two stones had slipped into her bile duct causing obstruction and consequently, swelling in her liver”, informed Dr. Piyush. “The patient also had very low blood pressure as she had infection. Bacterial infection of bile duct was spread to blood”, he added.
To save her life, ERCP (Endoscopic Retrograde Cholangiopancreatography) was performed done using Side view scope avoiding surgery. The case became even complicated as she already had clinical ailments like Thyroid and asthma.
Side view scope is a type of endoscope. Side view scope was passed through mouth to small intestine (duodenum) under Anaesthesia. In duodenum, a part of small intestine opening of bile and pancreatic duct is present.
Through side view scope accessories passed and bile duct opening was widened. Two stones with lots of pus was removed which was source of infection. Procedure was completed without any incision or suture. No complications after procedure and next day patient was not having any fever, her Blood pressure normalised and pain in abdomen reduced.