CASE STUDY
Yellow Eyes to Relief: Clearing a Blocked Bile Duct by Endoscopy
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Summary
Deep jaundice from a bile-duct stone relieved by ERCP — no open surgery needed.
- Procedure
- ERCP & Stenting
- Organ
- Bile Duct
- Condition
- gallstones
- 01
Presentation
A patient arrived with yellow eyes, dark urine and itching that had worsened over a week.
- 02
Investigations
Blood tests showed an obstructive pattern; MRCP revealed a stone lodged in the lower bile duct blocking bile flow.
- 03
Findings
A single stone was impacted in the common bile duct, causing back-pressure jaundice — an emergency for the liver if left untreated.
- 04
Strategy
An endoscopic approach (ERCP) was chosen to clear the duct from the inside, avoiding open surgery, followed later by gallbladder removal.
- 05
Procedure
At ERCP the duct was opened, the stone extracted, and a temporary stent placed to ensure free bile drainage.
- 06
Outcome
Jaundice and itching settled within days; liver tests normalised over the following weeks.
- 07
Follow-up
A planned laparoscopic gallbladder removal prevented any recurrence; the stent was removed on schedule.
What this case teaches
Most bile-duct stones causing jaundice can be cleared by endoscopy (ERCP) — fast relief without a major operation.
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01.
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Surgery here is performed by MCh-qualified surgical gastroenterologists, not general surgeons operating outside their specialty.
02.
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Laparoscopic and scarless techniques are the standard approach, reserving open surgery for cases that genuinely need it.
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RELATED TREATMENT
This case is an example of
ercp.
Read what the treatment involves, who it is for and what recovery looks like.
PATIENT EDUCATIONALL ERCP & STENTING GUIDES
Learn more about
ercp & stenting.
Doctor-written guides from Dr. Avinash Tank's medical-education library — understand the condition before you decide on treatment.
These articles live on dravinashtank.in, Dr. Avinash Tank's own site, and open in a new tab.
Dr. Avinash Tank
Director & Chief Surgical GastroenterologistTHE SURGICAL TEAM BEHIND THIS CASE
Experienced hands.
A familiar face.
Meet Dr. Avinash Tank, the surgeon leading Dwarika’s team. Trained at SGPGIMS — India's premier GI institute — with advanced fellowships in Japan and South Korea.
MCh · SGPGIMSFellowships in Liver, Pancreas & Bariatric SurgeryInvited faculty · ASIRAJ 2026
- 25+
- Years of surgical practice
- 10,000+
- Bariatric & GI surgeries in his career
Figures reflect Dr. Avinash Tank’s career record, as published by his practice.
WATCH · ERCP & STENTINGFULL VIDEO LIBRARY
ERCP & Stenting,
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EVERY STEP, TOGETHER
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Knowing what comes next makes all the difference. Explore your journey, from the first conversation to care after you go home.
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