Role of choledochotomy after mechanical lithotripsy‐related adverse event in endoscopic retrograde cholangiopancreatography. Issue 4 (23rd April 2023)

• Record Type: Journal Article
• Authors: Lalanda, Raquel; Seixo, Maria Inês; Lopes, Ana Sofia; Aparício, David; Ferreira, José; Freitas, Carlos; Miranda, Luís
• Is Part Of: Clinical case reports. Volume 11:Issue 4(2023)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2023-04-23
• Subjects: choledochotomy -- Dormia basket -- endoscopic retrograde cholangiopancreatography (ERCP) -- mechanical lithotripsy‐related adverse event; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.7248
• Languages: English
• ISSNs: 2050-0904

Abstract

Key Clinical Message: In case of rupture of the mechanical lithotripter's traction wires during an ERCP, we suggest performing a choledochotomy to remove the stone, and remove the closed Dormia basket through the mouth. Short Abstract: Patient with choledocholithiasis underwent endoscopic retrograde cholangiopancreatography and the Dormia basket advanced within the common bile duct became impacted with an entrapped stone. A mechanical lithotripter was used to fracture the stone, but the wires of the basket ruptured. Choledochotomy was performed to successfully treat this mechanical lithotripsy‐related complication.