Balloon-assisted peroral cholangioscopy by using an 8.8-mm gastroscope for the diagnosis of Mirizzi syndrome
A 50-year-old woman was referred for treatment of an obstructing gallstone in the common hepatic duct, found on MRCP (A). An ERCP was performed, revealing a 2.5-cm stone obstructing the common hepatic duct (B), with no opacification of the gallbladder. Attempts using mechanical lithotripsy were unsu...
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| Format: | article |
| Published: |
2010
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| Online Access: | http://hdl.handle.net/10725/4135 http://dx.doi.org/10.1016/j.gie.2009.07.025 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://www.giejournal.org/article/S0016-5107(09)02267-6/abstract |
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| Summary: | A 50-year-old woman was referred for treatment of an obstructing gallstone in the common hepatic duct, found on MRCP (A). An ERCP was performed, revealing a 2.5-cm stone obstructing the common hepatic duct (B), with no opacification of the gallbladder. Attempts using mechanical lithotripsy were unsuccessful, so a biliary sphincterotomy was performed, and a 10F plastic stent was placed for temporary decompression. The patient returned 1 week later for cholangioscopy. So that the duct could optimally be visualized, a 0.035-inch guidewire was advanced above the obstructing stone by using a therapeutic duodenoscope (TJF-160VF; Olympus America, Inc, Center Valley, Penn). |
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