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Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone
A 58-year-old woman presented with a 4 cm obstructing choledocolith within the proximal common bile duct. She had an extensive operative history resulting in common bile duct to jejunum anastomosis after cholecystectomy. Endoscopic retrograde cholangiopancreatography (ERCP) removal was unsuccessful,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128384/ https://www.ncbi.nlm.nih.gov/pubmed/27920862 http://dx.doi.org/10.1016/j.radcr.2016.09.008 |
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author | Deal, Adam K. Murthy, Shashidhara Wason, Shaun Vingan, Harlan Fabrizio, Michael |
author_facet | Deal, Adam K. Murthy, Shashidhara Wason, Shaun Vingan, Harlan Fabrizio, Michael |
author_sort | Deal, Adam K. |
collection | PubMed |
description | A 58-year-old woman presented with a 4 cm obstructing choledocolith within the proximal common bile duct. She had an extensive operative history resulting in common bile duct to jejunum anastomosis after cholecystectomy. Endoscopic retrograde cholangiopancreatography (ERCP) removal was unsuccessful, and surgical exploration was contraindicated due to multiple comorbidities. Interventional radiologist placement of bilateral transhepatic ureteral access sheaths allowed Urologist evaluation of the biliary tract by ureteroscope. Holmium laser lithotripsy was performed with successful fragmentation of the stone and clearance of the obstruction, without complication. The case is relevant to the growing literature on the management of refractory biliary stones after failed ERCP. |
format | Online Article Text |
id | pubmed-5128384 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-51283842016-12-05 Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone Deal, Adam K. Murthy, Shashidhara Wason, Shaun Vingan, Harlan Fabrizio, Michael Radiol Case Rep Case Report A 58-year-old woman presented with a 4 cm obstructing choledocolith within the proximal common bile duct. She had an extensive operative history resulting in common bile duct to jejunum anastomosis after cholecystectomy. Endoscopic retrograde cholangiopancreatography (ERCP) removal was unsuccessful, and surgical exploration was contraindicated due to multiple comorbidities. Interventional radiologist placement of bilateral transhepatic ureteral access sheaths allowed Urologist evaluation of the biliary tract by ureteroscope. Holmium laser lithotripsy was performed with successful fragmentation of the stone and clearance of the obstruction, without complication. The case is relevant to the growing literature on the management of refractory biliary stones after failed ERCP. Elsevier 2016-10-21 /pmc/articles/PMC5128384/ /pubmed/27920862 http://dx.doi.org/10.1016/j.radcr.2016.09.008 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Deal, Adam K. Murthy, Shashidhara Wason, Shaun Vingan, Harlan Fabrizio, Michael Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title | Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title_full | Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title_fullStr | Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title_full_unstemmed | Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title_short | Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
title_sort | percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128384/ https://www.ncbi.nlm.nih.gov/pubmed/27920862 http://dx.doi.org/10.1016/j.radcr.2016.09.008 |
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