Fredrick Che, MD, Kelvin Higa, MD, Ashraf Haddad, MD, Keith Boone, MD, Saber Ghiassi, MD. UCSF Fresno
69 year old female with a history of an open whipple procedure in 2006 for a large duodenal diverticulum with inspissated bile which caused an obstruction at the ampulla of vater; presented now with nausea, vomiting and worsening epigastric pain. CT showed a large pancreatic duct stone and dilated pancreatic duct, which caused her symptoms. Due to two unsuccessful ERCP attempts to retrieve the stone, she underwent a laparoscopic lateral pancreaticojejunostomy and roux-en-y reconstruction for retrieval of the obstructing pancreatic duct stone. Post-operatively, her symtpoms resolved, was able to tolerate a diet, and was discharged home. She has been followed in clinic closely, where she is still doing well and is pain free.