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http://dx.doi.org/10.1055/a-0599-0280DOI Listing

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Article Synopsis
  • Liver transplantation is a very important surgery for kids with serious liver problems, but there can be complications like biliary stones.
  • A 7-year-old boy who had a liver transplant faced issues with stones in his bile ducts and infection, making treatment difficult.
  • A special method called percutaneous endoscopic cholangioscopy was used to successfully remove the stones without needing more surgery, which is a great option for future cases like this.
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This case report details the management of an 89-year-old female with a complex surgical history, including cholecystectomy, left hepatectomy, and repair of an iatrogenic duodenal perforation, who presented with acute cholangitis due to a large common bile duct stone. Faced with the challenges of altered anatomy and the patient's frailty, a multidisciplinary team employed a series of interventions, including percutaneous transhepatic biliary drainage and endoscopic retrograde cholangiopancreatography (ERCP). The case was further complicated by difficulties in navigating the altered biliary tract, necessitating the use of advanced endoscopic techniques such as cholangioscopy and electrohydraulic lithotripsy (EHL) for stone fragmentation and removal, leading to the successful resolution of the obstruction.

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