Successful Removal of a Large Common Bile Duct Stone by Using Direct Peroral Cholangioscopy and Laser Lithotripsy in a Patient with Severe Kyphosis

被引：2

作者：

Lee, Song I. ^{[1
]}

Lim, Byung Hun ^{[1
]}

Heo, Won Gak ^{[1
]}

Kim, Young Jun ^{[1
]}

Kim, Tae Hyeon ^{[1
]}

机构：

[1] Wonkwang Univ, Sch Med, Dept Internal Med, Iksan, South Korea

来源：

CLINICAL ENDOSCOPY | 2016年 / 49卷 / 04期

关键词：

Gallstones; Kyphosis; Cholangiography; Cholangitis;

D O I：

10.5946/ce.2015.109

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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 (7x3 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.

引用

页码：395 / 398

页数：4

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