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Carbillet S, Brazier F, Fumery M, Yzet C. Electrohydraulic lithotripsy: a safe and effective technique to retrieve an impacted Dormia basket. Endoscopy 2024; 56:E715. [PMID: 39111768 PMCID: PMC11305888 DOI: 10.1055/a-2371-1205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/11/2024]
Affiliation(s)
- Sébastien Carbillet
- Gastroenterology, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France
| | - Franck Brazier
- Gastroenterology, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France
| | - Mathurin Fumery
- Gastroenterology, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France
| | - Clara Yzet
- Gastroenterology, Centre Hospitalier Universitaire Amiens-Picardie, Amiens, France
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Bogut A, Saric I, Dragisic V, Azinovic A, Romic I, Bakula B, Puljiz M, Puljiz Z. Extraction Basket Entangled in Surgical Sutures in Common Bile Duct Forty-Five Years After Hepatobiliary Surgery: A Bizarre Adverse Event of Endoscopic Retrograde Cholangiopancreatography. Gastroenterology Res 2024; 17:183-188. [PMID: 39247708 PMCID: PMC11379044 DOI: 10.14740/gr1752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Accepted: 07/17/2024] [Indexed: 09/10/2024] Open
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is an important technique for treating biliary obstruction. A case report of a 75-year-old male with diagnosed choledocholithiasis and cholangitis was presented. He had a history of hepatic surgery 45 years ago, and during the ERCP, an unusual clinical scenario was encountered. Retained extraction basket during ERCP is a rare but known complication and there are no standard recommendations to manage it. To our knowledge, this is the first case report described in the literature with retention of an extraction basket in surgical sutures at ERCP and the longest period from surgery to stone formation in the biliary system. This case report aims to emphasize that in patients with a history of hepatobiliary surgery, postoperative material can cause complications during ERCP.
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Affiliation(s)
- Ante Bogut
- Department of Gastroenterology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Ivan Saric
- Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Vedran Dragisic
- Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Andela Azinovic
- Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
| | - Ivan Romic
- Department of Abdominal Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Branko Bakula
- Department of Surgery, University Hospital Sveti Duh Zagreb, Zagreb, Croatia
| | - Marko Puljiz
- Department of Surgery, General Hospital Dubrovnik, Dubrovnik, Croatia
| | - Zeljko Puljiz
- Department of Gastroenterology, University Hospital Center Split, Split, Croatia
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Misbahuddin-Leis M, Ankolvi M, Mishra M, Dubasz K, Marinov A, Müller T, Graeb C, Radeleff B. Unlocking the enigma: Combined percutaneous-transhepatic and endoscopic strategies for retrieval of severed Dormia basket in choledocholithiasis. A case report and literature review. Radiol Case Rep 2024; 19:2745-2750. [PMID: 38680740 PMCID: PMC11047170 DOI: 10.1016/j.radcr.2024.03.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 03/26/2024] [Accepted: 03/27/2024] [Indexed: 05/01/2024] Open
Abstract
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. We report on an 89-year-old patient presenting with massive choledocholithiasis, involving complete filling of the intra- and extrahepatic bile duct system with large stones up to a maximum of 2 cm. The patient underwent interventional removal of a Dormia basket (3.5Fr. Boston Scientific, USA) impacted in the common bile duct. This procedure proved challenging due to the metallic end marker of the basket perforating through the wall of the distal common bile duct, rendering it fixed. Given the complexity of the case, a parallel approach combining percutaneous transhepatic cholangiography and drainage with simultaneous endoscopy was employed to successfully extract the fixed Dormia basket. In cases of severe choledocholithiasis complicated by the impaction of foreign bodies such as Dormia baskets, innovative interventional strategies are crucial for successful management. Our case highlights the effectiveness of a parallel approach involving percutaneous transhepatic cholangiography and drainage alongside simultaneous endoscopy in safely removing the fixed foreign body from the common bile duct. This multidisciplinary approach not only offers a viable alternative to surgical intervention but also underscores the importance of collaboration between interventional radiologists and endoscopists in optimizing patient outcomes in complex biliary interventions.
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Affiliation(s)
- Mohammed Misbahuddin-Leis
- Medical Faculty Heidelberg, Heidelberg University
- Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Muzaffer Ankolvi
- Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Manisha Mishra
- Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Krisztina Dubasz
- Medical Faculty Heidelberg, Heidelberg University
- Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Aleksander Marinov
- Department of Gastroenterology, Hepatology, Infectiology, Hematology and Oncology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Thomas Müller
- Department of Gastroenterology, Hepatology, Infectiology, Hematology and Oncology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Christian Graeb
- Department of Visceral and Abdominal Surgery, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
| | - Boris Radeleff
- Department of Diagnostic and Interventional Radiology, Sana Klinikum Hof GmbH, Academic Teaching Hospital of the Friedrich-Alexander-University Erlangen-Nuremberg
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Lee JWK, Tan MY, Koh C, Iyer SG, Gao Y. Retained stone retrieval basket causing chronic pancreatitis: a case report. Front Surg 2023; 10:1235833. [PMID: 37621947 PMCID: PMC10445159 DOI: 10.3389/fsurg.2023.1235833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/10/2023] [Indexed: 08/26/2023] Open
Abstract
Background Endoscopic retrograde cholangiopancreatography is a common procedure performed for choledocholithiasis and gallstone pancreatitis. Although a relatively low risk procedure, it is not without its complications. Cases of impacted Dormia baskets during stone retrieval have been reported, but these are usually retrieved surgically during the same setting. Case summary A 40-year-old man presented to our hospital with an episode of epigastric pain and discomfort. He has a prior background of recurrent episodes of pancreatitis of which he underwent prior endoscopic therapy in his home country. Initial investigations revealed a metallic object seen on abdominal x-ray, computer tomographic scan of the abdomen and pelvis, and magnetic resonance imaging of the pancreas. Further evaluation was done with endoscopy, which revealed a retained stone extraction basket from a previous endoscopic retrograde pancreatography, resulting in recurrent episodes of acute chronic pancreatitis. Although the retained foreign body was removed, he subsequently developed further complications of portal vein thrombosis as a result of recurrent acute chronic pancreatitis, which required anticoagulation. Conclusion This case highlights the importance of retrieving any foreign body from the pancreas, especially on the head, to prevent the development of further complications.
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Affiliation(s)
- James Wai Kit Lee
- Department of Surgery, National University Hospital, Singapore, Singapore
- Department of Surgery, National University of Singapore, Singapore, Singapore
- Department of Surgery, Alexandra Hospital, Singapore, Singapore
| | - Ming Yuan Tan
- Department of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
| | - Calvin Koh
- Department of Gastroenterology, National University of Singapore, Singapore, Singapore
| | - Shridhar Ganpathi Iyer
- Department of Surgery, National University Hospital, Singapore, Singapore
- Department of Surgery, National University of Singapore, Singapore, Singapore
| | - Yujia Gao
- Department of Surgery, National University Hospital, Singapore, Singapore
- Department of Surgery, National University of Singapore, Singapore, Singapore
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Przybysz MA, Stankiewicz R. Rare post-endoscopic retrograde cholangiopancreatography complications: Can we avoid them? World J Meta-Anal 2022; 10:122-129. [DOI: 10.13105/wjma.v10.i3.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 05/11/2022] [Accepted: 06/26/2022] [Indexed: 02/06/2023] Open
Abstract
Regarded as a minimally invasive procedure, endoscopic retrograde cholangiopancreatography (ERCP) is commonly used to manage various pancreaticobiliary disorders. The rate of complications is low and starts from 4% for diagnostic interventions. The group of most frequent negative outcomes is commonly known and includes pancreatitis, cholecystitis, and hemorrhage. Rare adverse effects occur occasionally but carry a significant risk of unexpected and potentially dangerous results. In some cases, including splenic injury, the knowledge of pre-existing conditions might be helpful in avoiding the unwanted outcome, while in others, the risk factors are not clearly defined. Such situations demand increased caution in the post-ERCP period. The appearance of abdominal pain, peritoneal symptoms, or instability of the patient’s hemodynamic condition should alert the physician and lead to further investigation of the possible causes. The diagnostic process usually involves imaging tests. The implementation of the appropriate treatment should be immediate, as many of the rare complications carry the risk of dangerous, even potentially lethal, results.
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Affiliation(s)
- Marta Aleksandra Przybysz
- Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw 02-097, Poland
| | - Rafał Stankiewicz
- Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw 02-097, Poland
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Okamoto T, Yamamoto K, Fukuda K. Biliary balloon dilator impaction in a non-dilated bile duct with anatomical variations: a case report. BMC Gastroenterol 2022; 22:129. [PMID: 35303802 PMCID: PMC8931974 DOI: 10.1186/s12876-022-02196-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 03/03/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND While techniques for extracting large stones from dilated bile ducts are increasing, options for small stones impacted in non-dilated bile ducts are limited. CASE PRESENTATION We report the case of an impacted biliary balloon dilator in a choledocholithiasis patient with a non-dilated bile duct and multiple anatomical variations, including low insertion of the cystic duct. After unsuccessful attempts with a stone extraction basket and balloon, a biliary balloon dilator with a sharp catheter tip was advanced into the bile duct. The balloon could not be removed from the bile duct even when deflated. The duodenoscope fell back into the stomach, causing the shaft of the dilator to break near the ampulla. We then removed the broken tip with a snare, which caused the balloon sheath to separate from the shaft and remain in the bile duct. Finally, we removed the sheath with rat-tooth forceps, leading to successful extraction of the stone-and-balloon complex. CONCLUSIONS The exceedingly rare possibility of balloon impaction should be kept in mind when using biliary balloon dilators in non-dilated bile ducts.
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Affiliation(s)
- Takeshi Okamoto
- Department of Hepato-Biliary-Pancreatic Medicine, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31, Ariake, Koto-ku, Tokyo, 135-8550, Japan. .,Department of Gastroenterology, St. Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan.
| | - Kazuki Yamamoto
- Department of Gastroenterology, St. Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan
| | - Katsuyuki Fukuda
- Department of Gastroenterology, St. Luke's International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo, 104-8560, Japan
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Dormia basket impacted during ERCP, resolved by laparoscopic bile duct approach: Case report. Int J Surg Case Rep 2021; 79:62-66. [PMID: 33434770 PMCID: PMC7809167 DOI: 10.1016/j.ijscr.2020.12.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 12/28/2020] [Accepted: 12/28/2020] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice for treating and removing common bile duct (CBD) stones with high success rates. Among the adverse effects, impaction of the Dormia basket when removing the stones is an unusual complication. CASE PRESENTATION Two cases of choledocholithiasis with endoscopic treatment by ERCP and Dormia basket impaction, resolved by a laparoscopic approach to the bile duct. DISCUSSION Laparoscopic common bile duct exploration (LCBDE) has been developed as a technique to treat choledocholithiasis and simultaneously vesicular lithiasis by laparoscopy. LCBDE can be by means of a transcystic approach or by choledochotomy. The success of the treatment depends on surgical experience and the availability of adequate equipment, with high effectiveness to eliminate CBD stones and a success rate greater than 95%, it is equally effective for the resolution of adverse events during ERCP. CONCLUSION LCBDE provides an alternative therapy where there is no other type of treatment for the resolution of complications of ERCP. It is a safe, effective and reliable technique with high success rates, which offers the benefits of a minimally invasive approach.
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Varshney VK, Sreesanth KS, Gupta M, Garg PK. Laparoscopic retrieval of impacted and broken dormia basket using a novel approach. J Minim Access Surg 2020; 16:415-417. [PMID: 32978355 PMCID: PMC7597889 DOI: 10.4103/jmas.jmas_245_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
We encountered a 73-year-old patient who presented with right upper abdominal pain and jaundice. On evaluation, he was found to have cholelithiasis with choledocholithiasis. Endoscopic retrograde cholangiography was attempted, but during the procedure, the wire snapped and the dormia basket got retained in the common bile duct (CBD). Laparoscopic CBD exploration was performed and the basket with calculus was found impacted in the lower CBD. The basket was disengaged by holding its tip through another dormia introduced through choledochoscope and basket with all calculi retrieved. Clearance of CBD was ascertained with choledochoscopy and CBD was closed primarily. He did well in the post-operative period and was discharged on the 5th post-operative day. At 1-year follow-up, the patient was doing well. Laparoscopic CBD exploration is a feasible and safe option for the retained dormia basket. We utilised the 'dormia with dormia technique' to retrieve the impacted basket which has not been reported before.
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Affiliation(s)
- Vaibhav Kumar Varshney
- Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - K S Sreesanth
- Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manish Gupta
- Department of Gastroenterology, Goyal Hospital, Jodhpur, Rajasthan, India
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