Background: Common bile duct (CBD) stones are a potentially serious complication of gallstone disease, requiring timely removal to prevent life-threatening sequelae. Endoscopic retrograde cholangiopancreatography (ERCP) is the standard of care, but challenging anatomical variations—such as a periampullary diverticulum—can make biliary cannulation extremely difficult or impossible with standard techniques. Case Presentation: We report the case of a 28-year-old female doctor who developed severe sepsis and hepatic microabscesses following a laparoscopic cholecystectomy which was complicated by retained CBD stones. Initial ERCP attempts failed due to an intradiverticular papilla hidden within a large periampullary diverticulum. At Evercare Hospital Dhaka, after hemodynamic stabilization, a novel clip-assisted technique was employed. By applying a hemoclip to the edge of the diverticulum, the papilla was repositioned, enabling successful CBD cannulation, sphincteroplasty, and complete stone extraction with stent placement. The patient’s liver function and sepsis parameters improved rapidly, and she achieved a full recovery. Conclusion: This case demonstrates the life-saving potential of innovative endoscopic techniques in managing complex biliary anatomy. To our knowledge, this is the first reported use of clip-assisted papilla repositioning for ERCP in Bangladesh, underscoring the importance of advanced skills, creativity, and multidisciplinary expertise in overcoming procedural challenges. Pulse Vol.17, 2025 P: 29-32
| Mualliflar | Iqbal Murshed Kabir, SM Abu Zafar, Adnan Tasneem Hoque, Aspia Arfin, Muhammad Usman Iqbal |
|---|---|
| Jurnal | PULSE |
| Nashriyot | PROFI университетининг |
| ISSN | 2074-1855, 2235-8668 |
| Nashr sanasi | 2025-11-09 |
| Jild | 17 |
| Son | 1 |
| Betlar | 29-32 |
| Til | Ingliz |
| Ilmiy soha | Psixologiya |
| DOI | 10.3329/pulse.v17i1.85245 |
| Indeksga qo‘shilgan | 2026-09-02 |
DOI: 10.3329/pulse.v17i1.85245 · Maqolaning asl sahifasi · PDF
| APA | Iqbal Murshed Kabir, SM Abu Zafar, Adnan Tasneem Hoque, Aspia Arfin, & Muhammad Usman Iqbal (2025). Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach. PULSE, 17(1), 29-32. https://doi.org/10.3329/pulse.v17i1.85245 |
|---|---|
| GOST (OAK) | Iqbal Murshed Kabir va b. Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach // PULSE. – 2025. – T. 17, № 1. – P. 29-32. – DOI: 10.3329/pulse.v17i1.85245. |
| MLA | Iqbal Murshed Kabir, SM Abu Zafar, Adnan Tasneem Hoque, Aspia Arfin, and Muhammad Usman Iqbal. “Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach.” PULSE, 17(1), 29-32, 2025. https://doi.org/10.3329/pulse.v17i1.85245 |
| Chicago | Iqbal Murshed Kabir, SM Abu Zafar, Adnan Tasneem Hoque, Aspia Arfin, and Muhammad Usman Iqbal. “Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach.” PULSE, 17(1), 29-32 (2025). https://doi.org/10.3329/pulse.v17i1.85245 |
| Harvard | Iqbal Murshed Kabir, SM Abu Zafar, Adnan Tasneem Hoque, Aspia Arfin, and Muhammad Usman Iqbal (2025) ‘Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach’, PULSE, 17(1), 29-32. https://doi.org/10.3329/pulse.v17i1.85245 |
| BibTeX | @article{iqbalmurshedkabir2025,
title = {Clip-Assisted Common Bile Duct Cannulation During ERCP for Complex CBD Stones: A Novel Life-Saving Approach},
author = {Iqbal Murshed Kabir and SM Abu Zafar and Adnan Tasneem Hoque and Aspia Arfin and Muhammad Usman Iqbal},
journal = {PULSE},
year = {2025},
volume = {17},
number = {1},
pages = {29-32},
doi = {10.3329/pulse.v17i1.85245},
url = {https://doi.org/10.3329/pulse.v17i1.85245}
} |
Boshqa maqola uchun iqtibos tayyorlash
Neurofibromatosis is an autosomal dominant disorder that affects multiple organs and systems with different complications. Of the 2 types, Neurofibromatosis type 1, also known as von Recklinghausen Syndrome, is more…
Introduction: The aim of this study was to assess the association of office arterial stiffness and 24 h arterial stiffness as measured by pulse wave velocity (PWV) with subclinical target organ damage (TOD) in a…
Background: Acute upper gastrointestinal bleeding is the most common gastrointestinal emergency, and the patients should undergo urgent endoscopy within 24 hours of presentation, especially when associated with…
Background: Prader-Willi syndrome (PWS) is a heterogeneous genetic disorder caused by an anomaly on the chromosome 15. This condition typically results in low muscle tone, reduced height, cognitive impairments, and…
Background: Squamous cell carcinoma (SCC) of the oral tongue commonly metastasizes to regional cervical lymph nodes, but distant skeletal metastases are exceedingly rare. Case Presentation: We report a 54-year-old male…
Abstract not available Pulse Vol.17, 2025 P: 54-55
This report describes two successful cases of lateral tongue squamous cell carcinoma (SCC) reconstructed using a submental island flap following surgical resection. Case 1: A 59-year-old woman, presented with a 3.1 ×…
Introduction: Blood transfusion is an integral part for managing transfusion dependent patients, surgical-gynecological emergencies and many other cases. Symmetry should be maintained between blood component requisition…
Abstract not available Pulse Vol.17, 2025 P: 57-58
PULSE — barcha maqolalar · 2025-yil arxivi
Background: Acute upper gastrointestinal bleeding is the most common gastrointestinal emergency, and the patients should undergo urgent endoscopy within 24 hours of presentation, especially when associated with…
BACKGROUND: Brunner’s gland adenoma is a rare benign tumor arising from the submucosal glands of the duodenum. Most lesions are small and asymptomatic, but larger tumors may present with gastrointestinal bleeding…
Maqolada 2028-yilgi Olimpiya o‘yinlariga saralash davri sharoitida malakali dzyudochilarni xalqaro musobaqalarga tayyorlash tizimini takomillashtirish yo‘llari ko‘rib chiqilgan. O‘zbekiston terma jamoasining…
Maqolada malakali dzyudochilarni tayyorlashda texnik-taktik mahoratni takomillashtirish mexanizmlariga innovatsion yondashuv asoslab berilgan. O‘zbekiston terma jamoasining 2023–2025-yillardagi jahon chempionatlaridagi…
В тезисе рассматриваются онлайн-проекты как эффективный механизм формирования профессиональных навыков у будущих учителей русского языка в условиях цифровизации образования. Анализируются возможности проектной…
Maqolada ingliz tilini o‘qitishda turli metodlarning elementlarini o‘quv maqsadi asosida uyg‘unlashtirish masalasi nazariy va metodik jihatdan ko‘rib chiqiladi. Aralash metod tushunchasi miqdoriy va sifat tadqiqotlarini…
Maqolada sun’iy intellekt (SI) ta’sirida ta’lim paradigmasining raqamli bosqichdan intellektual transformatsiya bosqichiga o‘tishi, o‘qituvchi va o‘quvchi rollarining o‘zgarishi hamda inson markazli yondashuv sharoitida…
Har bir bola dunyoni o‘ziga xos tarzda his qiladi, anglaydi va kashf etadi. Autizm spektri buzilishi bo‘lgan bolalar uchun esa atrof-muhitdagi tovushlar, yorug‘lik, teginish va harakatlar turlicha sezilishi mumkin. Shu…