Cholangioscopy-guided holmium laser lithotripsy of a stone trapped in a mechanical lithotripter

Large common bile duct (CBD) stones can be removed with mechanical lithotripsy, although over-the-basket techniques such as electrohydraulic or pulsed dye laser lithotripsy can be necessary in cases of stone impaction.1 We report the case of a 42-year-old woman with a 30-mm stone in the CBD in whom...

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Detalhes bibliográficos
Autor principal: Libânio, Diogo (author)
Outros Autores: Giestas, Sílvia (author), Martinez-Ares, David (author), Canena, Jorge (author), Lopes, Luís (author)
Formato: article
Idioma:eng
Publicado em: 2018
Assuntos:
Texto completo:http://hdl.handle.net/1822/58162
País:Portugal
Oai:oai:repositorium.sdum.uminho.pt:1822/58162
Descrição
Resumo:Large common bile duct (CBD) stones can be removed with mechanical lithotripsy, although over-the-basket techniques such as electrohydraulic or pulsed dye laser lithotripsy can be necessary in cases of stone impaction.1 We report the case of a 42-year-old woman with a 30-mm stone in the CBD in whom mechanical lithotripsy was attempted after wide sphincterotomy. However, during the procedure, a rupture occurred in the traction wire of the basket, next to the handle. Emergency lithotripsy (EL) with use of an external-type system was immediately attempted, but wire fracture occurred again (2 times), turning its length shorter than the metallic sheath of the EL and rendering EL impossible