fig15

Figure 15. ERCP shows a patent fistula. (A) balloon occlusion cholangiogram of the CBD with contrast filling the cystic duct, gallbladder then entering the duodenum via the fistula (red circle) and (B) a wire passed retrograde through the fistula into the gallbladder demonstrates a patent fistula; (C) the ERCP patent fistula closed with a Steris Padlock clip.