Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy

Author: Hyunsuk LEE ¹ ; Sang Hyub LEE ; Gunn HUH ; Yeji KIM ; Saebeom HUR ; Moonhaeng HUR ; Minwoo LEE ; Byeongyun AHN
Author Information

1. Department of Internal Medicine, Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea
Publication Type:Case Report
From:Clinical Endoscopy 2022;55(2):297-301
CountryRepublic of Korea
Language:English
Abstract: Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinical manifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography, but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Although percutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and risky if the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneous transcholecystic cholangioscopy.