Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis

A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography,...

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Detalles Bibliográficos
Autores principales: Lee, Song I, Lim, Byung Hun, Heo, Won Gak, Kim, Young Jun, Kim, Tae Hyeon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977743/
https://www.ncbi.nlm.nih.gov/pubmed/27000425
http://dx.doi.org/10.5946/ce.2015.109
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author Lee, Song I
Lim, Byung Hun
Heo, Won Gak
Kim, Young Jun
Kim, Tae Hyeon
author_facet Lee, Song I
Lim, Byung Hun
Heo, Won Gak
Kim, Young Jun
Kim, Tae Hyeon
author_sort Lee, Song I
collection PubMed
description A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications.
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spelling pubmed-49777432016-08-09 Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis Lee, Song I Lim, Byung Hun Heo, Won Gak Kim, Young Jun Kim, Tae Hyeon Clin Endosc Case Report A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications. The Korean Society of Gastrointestinal Endoscopy 2016-07 2016-03-22 /pmc/articles/PMC4977743/ /pubmed/27000425 http://dx.doi.org/10.5946/ce.2015.109 Text en Copyright © 2016 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Song I
Lim, Byung Hun
Heo, Won Gak
Kim, Young Jun
Kim, Tae Hyeon
Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title_full Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title_fullStr Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title_full_unstemmed Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title_short Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
title_sort successful removal of a large common bile duct stone by using direct peroral cholangioscopy and laser lithotripsy in a patient with severe kyphosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977743/
https://www.ncbi.nlm.nih.gov/pubmed/27000425
http://dx.doi.org/10.5946/ce.2015.109
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