Endoscopy 2022; 54(S 01): S254
DOI: 10.1055/s-0042-1745303
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

MINIMAL RESIDUAL INTRAHEPATIC LITHIASIS TREATED WITH INTRADUCTAL LITHOTRIPSY

M. Sacco
1   AOU Città della Salute e della Scienza di Torino, Gastroenterology Department, Endoscopy Unit, Torino, Italy
,
M. Gesualdo
1   AOU Città della Salute e della Scienza di Torino, Gastroenterology Department, Endoscopy Unit, Torino, Italy
,
S. Caronna
1   AOU Città della Salute e della Scienza di Torino, Gastroenterology Department, Endoscopy Unit, Torino, Italy
,
W. Debernardi Venon
1   AOU Città della Salute e della Scienza di Torino, Gastroenterology Department, Endoscopy Unit, Torino, Italy
,
C.G. De Angelis
1   AOU Città della Salute e della Scienza di Torino, Gastroenterology Department, Endoscopy Unit, Torino, Italy
› Author Affiliations
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This video present a case of combined extra- and intrahepatic lithiasis; patient underwent a first ERCP with mechanic lithotripsy and removal of stones from common bile duct (CBD). Since patient was still mild symptomatic and blood test did not normalize, a new cholangio-MRI was performed, showing residual intrahepatic lithiasis.

A second ERCP with intraductal ultrasound (IDUS) and cholangioscopy was performed, in order to reach the intrahepatic stone and perform a intraductal lithotripsy. A systematic exploration of the biliary tree was performed reaching the stone, and the intraductal lithotripsy was successfully done.



Publication History

Article published online:
14 April 2022

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