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DOI: 10.1055/s-0042-1745176
PERCUTANEOUS CHOLANGIOSCOPY-GUIDED LITHOTRIPSY IN A PATIENT WITH OBSTRUCTIVE COMMON BILE DUCT STONES AFTER HEPATICOJEJUNOSTOMY
An 84-year-old female with hepaticojejunostomy presented with cholangitis due to obstructive common bile duct stones. Radiologic attempts to overcome the obstruction resulted unsuccessful. A 12 French introducer was then placed percutaneously through the left duct, leading the insertion of a dedicated single-operator cholangioscope. Electro-hydraulic lithotripsy was performed under direct visualisation until reaching the biliodigestive anastomosis. Stones fragments were pushed to the duodenum with a balloon. A guidewire was finally inserted through the cholangioscope in the duodenum, allowing the placement of an internal-external drainage.
Publication History
Article published online:
14 April 2022
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