Rimozione endoscopica di un cestello di Dormia impattato nella via biliare in corso di trattamento di una coledocolitiasi residua difficile. Report di un caso
C. Sciumè 1, G. Geraci 1, F. Pisello 1, F. Li Volsi 1, M. Cajozzo 1, G. Modica 1
Affiliation
Article Info
1 Università Degli Studi Di Palermo Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone” Dipartimento di Discipline Chirurgiche ed Oncologiche Sezione di Chirurgia Generale ad Indirizzo Toracico Direttore: Prof. Giuseppe Modica
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