Patient Rajani Devi was referred from the General Surgery Department of Dr. Jai Dev Memorial Rotary Ambala Hospital for severe abdominal pain due to a large stone in the cannabidiol (CBD). For further diagnosis, Dr. Hardeep Singh, a gastroenterologist and hepatologist, decided to perform magnetic resonance cholangiopancreatography (MRCP), which showed a large CBD stone of around 18 mm. Not only was the stone an issue, but the other problem was an extremely narrow distal. The patient was explained about the possible need for an open surgery for a large stone in the bile duct in case of failure in performing endoscopic retrograde cholangiopancreatography (ERCP) due to the to the exceptionally large size of the CBD stone. ERCP was attempted, and the gastroenterology team was able to successfully fragment the stone, which further helped in the removal of the stone. Kudos to the team for a successful procedure, as the patient was not required to undergo an open surgery. Due to the removal of the stone, the patient had a dramatic decrease in jaundice and abdominal pain.

The patient was discharged the following day!