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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,...

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Autores principales: Deal, Adam K., Murthy, Shashidhara, Wason, Shaun, Vingan, Harlan, Fabrizio, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
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.
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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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