Dictated by Donald E. Wenner, MD FACS
62 year old female presented with abdominal pain, intractable nausea, and vomiting. Intraoperative cholangiogram showed reverse meniscus sign at the ampulla, poor flow into duodenum, and multiple small filling defects in the CBD. A longitudinal choledochotomy was made and eight stones were retrieved from the bile duct using a balloon catheter technique. The MIG and 3.2mm choledochoscope were used to inspect the proximal and distal bile duct. The choledochoscope readily passed into the duodenum. A T-tube was placed. The operation took 2' 8". The patient was discharged home on postoperative day five.