Percutaneous transhepatic holmium laser lithotripsy of a large common bile duct stone
| Autor: | Harlan Vingan, Michael D. Fabrizio, Shaun Wason, Adam K. Deal, Shashidhara Murthy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous Percutaneous lithotripsy medicine.medical_treatment Holmium laser Case Report Anastomosis Lithotripsy digestive system 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Radiology Nuclear Medicine and imaging Interventional radiology Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test Common bile duct business.industry Surgery medicine.anatomical_structure Biliary tract Biliary intervention Choledocolithiasis 030211 gastroenterology & hepatology Cholecystectomy Radiology business |
| Zdroj: | Radiology Case Reports |
| ISSN: | 1930-0433 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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