A 16-year-old girl presented with complaints of abdominal pain, fever, and jaundice. Magnetic resonance cholangiopancreatography (MRCP) showed multiple common bile duct (CBD) stones. Routine endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy were performed and several CBD stones were retrieved successfully. The recovery was uneventful until the onset of progressively intolerable abdominal pain two days later. Abdominal ultrasonography revealed a dilated common bile duct (10 mm) with an ill-defined linear echogenic shadow inside. The gallbladder was normal.
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