Abstract Text An 86-year-old female with acute lithiasic cholecystitis unfit for surgery underwent
EUS-guided gallbladder drainage (EUS-GBD) using a lumen apposing-metal stent (LAMS).
Two months later she was readmitted for a new episode of acute cholecystitis. Computed
tomography scan showed obstruction of the LAMS and two large lithiasis, one of them
adjacent to the cystic duct. During the procedure we identified that the LAMS was
embedded so we repermeabilized it, performed a direct cholecystoscopy with a standard
gastroscope through the LAMS, cleaned the gallbladder and replaced the LAMS with two
double pigtail plastic stents.
Endoscopic gallbladder lithotripsy after EUS-GBD was effective and safe. This approach
could be necessary in selected patients with large cholelithiasis.
Video
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