Laparoscopic Common Bile Duct Exploration for Retrieval of Impacted Dormia Basket following Endoscopic Retrograde Cholangiopancreatography with Mechanical Failure: Case Report with Literature ReviewReport as inadecuate




Laparoscopic Common Bile Duct Exploration for Retrieval of Impacted Dormia Basket following Endoscopic Retrograde Cholangiopancreatography with Mechanical Failure: Case Report with Literature Review - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Surgery - Volume 2017 2017, Article ID 5878614, 5 pages - https:-doi.org-10.1155-2017-5878614

Case Report

Department of Laparoscopic and Upper Gastro-Intestinal Surgery, Hinchingbrooke Healthcare NHS Trust, Hinchingbrooke Park, Huntingdon PE29 6NT, UK

Department of Gastroenterology, Hinchingbrooke Healthcare NHS Trust, Hinchingbrooke Park, Huntingdon PE29 6NT, UK

Correspondence should be addressed to J. W. O’Brien

Received 7 January 2017; Accepted 13 June 2017; Published 13 July 2017

Academic Editor: Imran Hassan

Copyright © 2017 J. W. O’Brien et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dormia baskets are commonly used during endoscopic retrograde cholangiopancreatography ERCP. One complication is basket retention, through impaction with a gallstone or wire fracture. We describe a case where the external handle of the basket snapped causing retained basket plus large gallstone impacted in the common bile duct CBD. Following laparoscopic cholecystectomy, laparoscopic CBD exploration allowed direct stone fragmentation under vision with the choledochoscope. Fragments were removed using a choledochoscopic basket and Fogarty catheter, and the basket was withdrawn. Literature search identified 114 cases of retained baskets with management including shockwave lithotripsy 27%, papillary balloon dilatation 22%, open CBD exploration 11%, and one laparoscopic case.





Author: J. W. O’Brien, R. Tyler, S. Shaukat, and A. M. Harris

Source: https://www.hindawi.com/



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