Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis
A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography,...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2016-07-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2015-109.pdf |
| _version_ | 1797426809995788288 |
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| author | Song I Lee Byung Hun Lim Won Gak Heo Young Jun Kim Tae Hyeon Kim |
| author_facet | Song I Lee Byung Hun Lim Won Gak Heo Young Jun Kim Tae Hyeon Kim |
| author_sort | Song I Lee |
| collection | DOAJ |
| description | A 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications. |
| first_indexed | 2024-03-09T08:36:16Z |
| format | Article |
| id | doaj.art-b82dc13ca731428a95167d488163bc16 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T08:36:16Z |
| publishDate | 2016-07-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-b82dc13ca731428a95167d488163bc162023-12-02T18:19:54ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-07-0149439539810.5946/ce.2015.1096860Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe KyphosisSong I LeeByung Hun LimWon Gak HeoYoung Jun KimTae Hyeon KimA 75-year-old woman with hypertension presented with acute suppurative cholangitis. Chest radiography revealed severe kyphosis. Abdominal computed tomography revealed a large stone impacted in the common bile duct (CBD). The patient underwent emergent endoscopic retrograde cholangiopancreatography, and cholangiography revealed a large stone (7×3 cm) in the CBD that could not be captured using a large basket. We could not use the percutaneous approach for stone fragmentation by using a cholangioscope because of severe degenerative kyphosis. Finally, we performed holmium laser lithotripsy under peroral cholangioscopy by using an ultraslim endoscope, and the large stone in the CBD was successfully fragmented and removed without complications.http://www.e-ce.org/upload/pdf/ce-2015-109.pdfGallstonesKyphosisCholangiographyCholangitis |
| spellingShingle | Song I Lee Byung Hun Lim Won Gak Heo Young Jun Kim Tae Hyeon Kim Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis Clinical Endoscopy Gallstones Kyphosis Cholangiography Cholangitis |
| title | Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis |
| title_full | Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis |
| title_fullStr | Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis |
| title_full_unstemmed | Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis |
| title_short | Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis |
| title_sort | successful removal of a large common bile duct stone by using direct peroral cholangioscopy and laser lithotripsy in a patient with severe kyphosis |
| topic | Gallstones Kyphosis Cholangiography Cholangitis |
| url | http://www.e-ce.org/upload/pdf/ce-2015-109.pdf |
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