ENDOSCOPIC REMOVAL OF IMPACTED DORMIA IN A “DIFFICULT” RESIDUAL CHOLEDOCHELITHIASIS. CASE REPORT
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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.