Figure 1.

A case of choledocholithiasis, wherein EUS-rendezvous was performed without intrahepatic bile duct dilatation. (a) Puncture the extrahepatic bile duct using a 19G fine-needle aspiration needle under EUS guidance (white arrow). (b) Inject a contrast medium into the extrahepatic bile duct (white arrow) and then, confirm choledocholithiasis (white arrowhead). (c) Lead the guidewire successfully to the papilla side (white arrow) and advance it to the duodenum. (d) While retaining guidewire, remove the EUS scope and insert the ERCP scope to the duodenal papilla. Then, hold the soft parts of guidewire using a snare