Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis.
- Author:
Song I LEE
1
;
Byung Hun LIM
;
Won Gak HEO
;
Young Jun KIM
;
Tae Hyeon KIM
Author Information
- Publication Type:Case Report
- Keywords: Gallstones; Kyphosis; Cholangiography; Cholangitis
- MeSH: Aged; Cholangiography; Cholangiopancreatography, Endoscopic Retrograde; Cholangitis; Common Bile Duct*; Endoscopes; Female; Gallstones; Humans; Hypertension; Kyphosis*; Lasers, Solid-State; Lithotripsy; Lithotripsy, Laser*; Radiography; Thorax
- From:Clinical Endoscopy 2016;49(4):395-398
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
