Abstract
A previously cholecystectomized man presented on endoscopic retrograde cholangiography with a large stone (6×2×2 cm) in the common bile duct. The patient refused surgical removal of the stone, so although endoscopic papillotomy was contrainicated, it was attempted. Herein is presented a case report of successful removal of a large stone by endoscopic papillotomy and lithotripsy with no significant complications.