For choledocholithiasis, endoscopic management is the first line of treatment. Both Dormia basket and balloon catheter are used to retrieve common bile duct (CBD) stones. Here we present a case of impaction of the Dormia basket during an endoscopic procedure. The patient was managed through laparoscopic choledochotomy, and the basket was found to be impacted with a common bile stone of size 18 mm. The stone was disengaged from the basket and, by holding the tip of the basket, was removed through one of the laparoscopic ports.
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http://dx.doi.org/10.4103/0972-9941.169975 | DOI Listing |
Pol Przegl Chir
April 2024
Department of General and Transplant Surgery, Medical University of Lodz, Polnad.
<b>Introduction:</b> Choledocholithiasis (CCL) is one of the most common serious health consequences of cholelithiasis. For years, evacuation of stones using endoscopic retrograde cholangiopancreatography (ERCP) has been the first-line treatment. In 10-15% of cases, gallstones cannot be removed using the above-mentioned method and auxiliary methods are necessary; these are so-called difficult gallstones.
View Article and Find Full Text PDFIntroduction: Horseshoe kidney is often associated with ureteropelvic junction obstruction and nephrolithiasis. Retrograde intrarenal surgery (RIRS) is becoming one of the main treatment options for large stones in such patients.
Aim: To study the results of RIRS in patients with horseshoe kidney.
Endoscopy
December 2024
Gastroenterology, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France.
Radiol Case Rep
July 2024
Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg.
Choledocholithiasis, characterized by the presence of stones in the common bile duct, poses significant challenges in clinical management, particularly when the stones are massive. While endoscopic methods are often effective in stone removal, complications such as the impaction of foreign bodies like Dormia baskets can occur. These complications may necessitate alternative approaches, including surgical intervention, highlighting the importance of exploring innovative interventional techniques.
View Article and Find Full Text PDFCureus
January 2024
Anaesthesiology, B. J. Hospital & Research Institute, Gondia, IND.
This case report details the distinctive and demanding clinical situation involving a four-month-old female neonate. Her chief complaint was a two-day refusal to consume food orally, accompanied by episodes of vomiting following feedings and a sensation of choking in the throat. The referring physician suspected the presence of a foreign body in the patient's esophagus and advised a chest X-ray following a thorough examination.
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