A Case of Surgery for Retrieval of an Impacted Endoscopic Basket Catheter from the Common Bile Duct

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  • 総胆管結石治療用バスケット鉗子嵌頓に対し胆道ブジーが奏効した1例

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Abstract

<p>A 80-year-old man was admitted to our hospital with a diagnosis of choledocholithiasis and underwent endoscopic retrograde cholangiopancreatography. Stone removal with a basket failed and the wires of the basket fractured and impacted in the common bile duct, together with the stone. The patient was referred to our department because of the difficulty of retrieval of the impacted basket from the common bile duct. Open surgery was performed, in which we first tried to remove the basket through a longitudinal choledochotomy, but this was unsuccessful. Next, a papillary bougienage was performed and the basket was successfully released. A T-tube was inserted and the choledochotomy was closed. Impaction of the basket during endoscopic removal of common bile duct stones occurs in 0.8–5.9% of cases. In these cases, papillary bougienage may be a safe and effective method for basket removal.</p>

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