The Light at the End of the Tunnel

Approximately 5%–10% of common bile duct (CBD) stones cannot be removed by conventional methods because of altered anatomy. Percutaneous transhepatic cholangioscopic lithotomy has been cited as a viable alternative. A 69-year-old woman with a history of Roux-en-Y was found to have a lesion obstructi...

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Bibliographic Details
Published in:ACG case reports journal 2019-07, Vol.6 (7), p.e00113-e00113
Main Authors: Mando, Rufaat, Ceballos, Darrel, Kumar, Manoj, Abdul-Rahim, Osama, Mizrahi, Meir
Format: Article
Language:English
Subjects:
Case Report
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Summary:Approximately 5%–10% of common bile duct (CBD) stones cannot be removed by conventional methods because of altered anatomy. Percutaneous transhepatic cholangioscopic lithotomy has been cited as a viable alternative. A 69-year-old woman with a history of Roux-en-Y was found to have a lesion obstructing the CBD. A cholangioscope was advanced through a percutaneous transhepatic sheath and demonstrated an obstructing stone in the CBD that was removed with lithotripsy. The rate of successful stone removal with percutaneous transhepatic cholangioscopic lithotomy is 90%, with complication rates similar to endoscopic retrograde cholangiopancreatography and is an option in patients with altered surgical anatomy.
ISSN:2326-3253
2326-3253
DOI:10.14309/crj.0000000000000113