Endoscopic Removal of a Severed, Impacted Lithotomy Basket in the Pancreatic Duct in a Patient with Pancreas Divisum: Endoscopic Removal of Severed, Impacted Basket.
- Author:
Soo Jung PARK
1
;
Sung Koo LEE
;
Jeung Hye HAN
;
Kyung Uk JO
;
Sang Soo LEE
;
Dong Wan SEO
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sklee@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreas divisum;
Pancreaticolith;
Emergency mechanical lithotripsy;
Severed basket;
Impacted basket
- MeSH:
Biopsy;
Emergencies;
Endoscopy;
Humans;
Lithotripsy;
Middle Aged;
Pancreas*;
Pancreatic Ducts*;
Rupture;
Sphincterotomy, Endoscopic;
Stents;
Surgical Instruments
- From:Korean Journal of Gastrointestinal Endoscopy
2007;34(5):286-290
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Therapeutic endoscopy in patients with pancreas divisum has continued to evolve with the availability of minor papilla endoscopic sphincterotomy, stenting, or sphinteroplasty. A combination of a sphincterotomy followed by balloon/basket deployment and emergency mechanical lithotripsy had facilitated the removal of impacted or large stones in the pancreatic and biliary ducts. The impaction of the basket with captured stones or rupture of the basket traction-wire during mechanical lithotripsy are rare complications. We report the successful retrieval of a center-severed and impacted lithotomy basket in the duct of Santorini in a 47-year-old patient with pancreas divisum. Endobiliary biopsy forceps were introduced into minor papilla, the basket was drawn and the stone was removed successfully after 2 months. To the best of our knowledge, this is a first report of the removal of a center-severed and impacted lithotomy basket in the pancreatic duct.
