Electrohydraulic lithotripsy of a bile duct stone

Sequential fluoroscopic and endoscopic views during electrohydraulic lithotripsy (EHL) for giant extrahepatic bile duct stones.
(A) Giant common and left hepatic duct stones (arrows).
(B) Daughter scope inserted, stone fragmentation with EHL.
(C) Stone fragments being removed with a basket (white arrow), stone in the duodenal lumen (green arrow), fluoroscopic view demonstrating clearance of the stones.