complicated gallstones may present with dual problems of gallstones and bile duct stones with associated clinical syndromes in both...
calculous cholangitis with bile duct stones will require ERCP and stone removal..
after the stones are removed, a biliary stent is frequently inserted to ensure bile drainage in any possible event of retained duct stones..
calculous cholecystitis will require laparoscopic cholecystectomy...
following cholecystectomy, ERCP is repeated for the removal of the stent
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