Stone removal by percutaneous papillary balloon dilatation for cystic duct and bile duct stones after cholecystectomy and distal gastrectomy with Roux-en-Y gastrojejunostomy.
Radiol Case Rep
; 18(1): 100-107, 2023 Jan.
Article
in En
| MEDLINE
| ID: mdl-36324847
ABSTRACT
A 71-year-old woman was referred to our department for abdominal pain. She was diagnosed with acute obstructive cholangitis due to cystic duct and bile duct stones after cholecystectomy and Roux-en-Y gastrojejunostomy. Two years ago, the patient underwent endoscopic and laparoscopic treatment for cystic duct and bile duct stones, however, the stones remained. This time, she was treated with stone removal using percutaneous papillary balloon dilatation (PPBD). Large stones in the common hepatic and bile ducts were crushed by electrohydraulic lithotripsy and then pushed out into the duodenum through the dilated papilla of Vater using a balloon catheter covered with the sheath and cholangioscopy. Stone in the cystic duct was pulled to the common bile duct and pushed to the duodenum. Stone removal using PPBD is an excellent alternative for patients with cystic duct and bile duct stones unable to be treated with endoscopic or laparoscopic stone removal.
Cobra-shaped sheath; Cystic duct stone; EHL, electrohydraulic lithotripsy; MRCP, magnetic resonance cholangiopancreatography; MRI, magnetic resonance imaging; PPBD, percutaneous papillary balloon dilatation; PTBD, percutaneous transhepatic biliary drainage; Percutaneous papillary balloon dilatation; Percutaneous stone removal; Roux-en-Y gastrojejunostomy
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Radiol Case Rep
Year:
2023
Document type:
Article
Affiliation country:
Japan