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In this video, Dr Jatin Yegurla, an esteemed specialist in Gastroenterology and GI Medicine at Apollo Hospitals, Jubilee Hills, explains the complex case of Mrs Ratna. She is a 27-year-old resident of Hyderabad, diagnosed with type IV Mirizzi syndrome, where the gallstone has migrated from the cystic duct into the common bile duct (CBD), resulting in a cystobiliary fistula. Despite undergoing ERCP (Endoscopic Retrograde Cholangiopancreatography) and cholecystectomy, the stone persisted within the cystobiliary fistula, causing the obstruction. Considering the challenging circumstances, Dr Yegurla opted for a repeat ERCP and conducted a cholangioscopy procedure followed by Electrohydraulic Lithotripsy(EHL), an advanced technique aimed at fragmenting the stone and clearing the common bile duct. Mrs Ratna initially consulted another hospital due to persistent abdominal pain for three months and was diagnosed with jaundice before being referred to Apollo Hospital, Jubilee Hills for further management. She expresses satisfaction with the advanced treatment options provided at Apollo and extends her gratitude to Dr Yegurla and the entire medical team for their care and support. Dr Yegurla explains about such rare cases globally and highlights the importance of EHL(Electrohydraulic Lithotripsy) in managing patients with type IV Mirizzi syndrome post-cholecystectomy. He emphasises the significance of Cholangioscopy with EHL as a non-surgical alternative for treating complex bile duct stones. 🗓 To book an appointment with Dr Jatin Yegurla visit: https://www.apollo247.com/doctors/dr-... Need immediate assistance? Get in touch with us through ✅ WhatsApp us on +91 9121241066 or click to chat with us https://wa.me/message/IQQ6CGQGD7FSI1 📞 Call us on +918069991049 or +914023607777 📧 Email us to [email protected] 👉 For more information on the latest advancements, explore the Apollo Hospitals Hyderabad website at 🌐 https://bit.ly/ApolloHospitalHyderabad #Mirizzisyndrome #BileDuctstones, #Cholangioscopy, #ElectrohydraulicLithotripsy #DrJatinYegurla #gastroenterologist #PatientTestimonial #ApolloHospitalsJubileeHills #Healthcare #apollohospitalshyderabad #Hyderabad