| Management of a fractured basket and bile duct stone by percutaneous transhepatic cholangioscopy |
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이화여자대학교 의과대학 내과학교실 |
| 증례 : 절단된 바스켓과 담도 담석의 경피 경간 담도경술에 의한 치료 |
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정주영&#;이성구&#;구동회&#;나승원&#;이상수&#;서동완&#;김명환, , , , , , |
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Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea |
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| Abstract |
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One of the unusual complications of endoscopic retrograde cholangiopancreatography (ERCP) is breaking the basket traction wire. We report here on a case of basket traction wire breakage along with an impacted large common bile duct (CBD) stone in a 72-year-old woman. The patient was previously admitted to another hospital with choledocholithesis and endoscopic removal of stone was attempted, but the basket traction wire was broken during ERCP and the basket with impacted stone was retained in the extrahepatic bile duct. Emergency percutaneous transhepatic biliary drainage (PTBD) was done and the patient was transferred to our hospital. The ERCP image and contrast enhanced computed tomography showed the retained basket in the extrahepatic bile duct and a large impacted CBD stone. After dilatation of the PTBD tract, we attempted percutaneous transhepatic cholangioscopy (PTCS) for removal of the basket and the impacted CBD stone. The basket and impacted stone were successfully removed.(Korean J Med 71:S989-S993, 2006) |
| Key Words:
Cholangiopancreatography, Endoscopic Retrograde, Choledocholithiasis, Complications, Cholangioscopy |
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