1 Mar 2003Case Report
ENDOSCOPIC REMOVAL OF IMPACTED DORMIA IN A “DIFFICULT” RESIDUAL CHOLEDOCHELITHIASIS. CASE REPORT
C. Sciumè 1G. Geraci 1F. Pisello 1F. Volsi 1M. Cajozzo 1G. Modica 1
Affiliations
Article Info
1 Dipartimento di Discipline Chirurgiche ed Oncologiche Sezione di Chirurgia Generale ad Indirizzo Toracico, Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone”, Università Degli Studi Di Palermo
Ann. Ital. Chir., 2003, 74(2), 209-212;
Published: 1 Mar 2003
Copyright © 2003 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Objective: The authors report their experience about the treatment of a rupted Dormia in CBD in elder with «difficult» residual choledocholilhiasis, with T tube. Design: Report of case. Evaluation of effectiveness of endoscopic treatment with 2-years follow-up. Setting: Operative Unit of General and Thoracic Surgery, Depariment of Surgical, Anatomical and Oncological Disciplines. Policlinico «Paolo Giaccone» - Palermo. Intervention: Endoscopic removal of Dormia rupted and impacted in CBD after 2 session of extracorporeal shock wave lilhotripsy (ESWL). Results: Resolution of the pathology with 2 session of ERCP and cholangiographic control. Conclusions: ERCP and ES are the golden standard in the treatment of choledocholithiasis. Rare complication of this method is the rupture of Dormia Basket in CBD: this occurence can be solved by endoscopy, but only in well experienced endoscopic teams.
Keywords
- ERCP
- complications
- residual choledocholithiasis
- Dormia basket