A 41-year-old man with quadriparesis who had been bedbound for 12 years following a road traffic crash and had multiple decubitus ulcers presented to our emergency department with complaints of 2 days of slurring of speech and facial deviation with 1 seizure episode. He had a history of type 2 diabetes. On physical examination, he was conscious and oriented, had slurring of speech, was able to obey simple commands, and had no meningeal signs. His
Management options for common bile duct stones found at laparoscopic cholecystectomy (LC) includes concurrent transcystic biliary stenting, effectively providing a conduit for common bile duct drainage and improving the success of subsequent endoscopic retrograde cholangiopancreatography. In the unprecedented COVID‐19 pandemic however, potential disruptions to the medical supply chain have been far reaching, including the distribution of specialised biliary stent sets. To overcome this, we devised an innovative method at our centre to substitute traditional procedural stent sets by employing standard, universally accessible open‐ended ureteral catheters, jagwires and pancreatic or biliary stents with similar procedural success.
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