Patient U, aged 57, had surgery - cholecystectomy, choledocholithotomy, drainage of the common bile duct by T-shaped Ker drainage for acute cholecystitis, multiple choledocholithiasis, cholangitis, obstructive jaundice. From the protocol of the operation it is known that one of the concrements was infringed the large papilla of the duodenum and was dropped into the duodenum by pushing. A year after the operation, the patient noted the appearance of continuous pain in the right hypochondrium, jaundice, darkening of the urine. The ERCP revealed dilatation of the extra- and intrahepatic bile ducts (a picture) showing a significant narrowing of the terminal ducts of choledochus (symptom Feather pen).
Your diagnosis?
What treatment is indicated to the patient?
Your diagnosis?
What treatment is indicated to the patient?
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