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Entrapment of a dormia basket in the cystic duct: case report.

Pariani D, Zetti G, Cortese F - Case Rep Surg (2012)

Bottom Line: Nowadays endoscopic treatment of common bile duct stones is considered the treatment of choice for all common bile duct stones.Although this procedure is related to a good success rate, in rare cases serious complications can happen, especially if you use a Dormia basket.It was necessary to perform a surgical choledochotomy to deal with this rare complication.

View Article: PubMed Central - PubMed

Affiliation: Azienda Ospedaliera Ospedale di Circolo di Busto Arsizio, Presidio Ospedaliero di Saronno, U.O. Chirurgia Generale e Toracica, Piazzale Borella, 21047 Saronno, Italy.

ABSTRACT
Nowadays endoscopic treatment of common bile duct stones is considered the treatment of choice for all common bile duct stones. Although this procedure is related to a good success rate, in rare cases serious complications can happen, especially if you use a Dormia basket. Here we describe the clinical case of a patient affected by hepatolithiasis, cholelithiasis, and common bile duct lithiasis with entrapment of a Dormia basket in the cystic duct. It was necessary to perform a surgical choledochotomy to deal with this rare complication.

No MeSH data available.


Related in: MedlinePlus

Intraoperative picture showing Dormia basket entrapped in the cystic duct.
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fig1: Intraoperative picture showing Dormia basket entrapped in the cystic duct.

Mentions: After some unsuccessful attempts to extract the basket endoscopically, the patient underwent emergency surgery. Through an under-the-rib trasversal laparotomy, a choledochotomy was performed and it was seen that the banches of the Dormia basket were trapped at the entrance of the cystic duct (Figure 1). Under direct vision the branches were cut and the basket was extracted.  Passing through the choledochotomy, a Fogarty catheter entered the right hepatic duct and managed to extract the intrahepatic stones with no stones left at the intraoperating choledochoscopy.


Entrapment of a dormia basket in the cystic duct: case report.

Pariani D, Zetti G, Cortese F - Case Rep Surg (2012)

Intraoperative picture showing Dormia basket entrapped in the cystic duct.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3475299&req=5

fig1: Intraoperative picture showing Dormia basket entrapped in the cystic duct.
Mentions: After some unsuccessful attempts to extract the basket endoscopically, the patient underwent emergency surgery. Through an under-the-rib trasversal laparotomy, a choledochotomy was performed and it was seen that the banches of the Dormia basket were trapped at the entrance of the cystic duct (Figure 1). Under direct vision the branches were cut and the basket was extracted.  Passing through the choledochotomy, a Fogarty catheter entered the right hepatic duct and managed to extract the intrahepatic stones with no stones left at the intraoperating choledochoscopy.

Bottom Line: Nowadays endoscopic treatment of common bile duct stones is considered the treatment of choice for all common bile duct stones.Although this procedure is related to a good success rate, in rare cases serious complications can happen, especially if you use a Dormia basket.It was necessary to perform a surgical choledochotomy to deal with this rare complication.

View Article: PubMed Central - PubMed

Affiliation: Azienda Ospedaliera Ospedale di Circolo di Busto Arsizio, Presidio Ospedaliero di Saronno, U.O. Chirurgia Generale e Toracica, Piazzale Borella, 21047 Saronno, Italy.

ABSTRACT
Nowadays endoscopic treatment of common bile duct stones is considered the treatment of choice for all common bile duct stones. Although this procedure is related to a good success rate, in rare cases serious complications can happen, especially if you use a Dormia basket. Here we describe the clinical case of a patient affected by hepatolithiasis, cholelithiasis, and common bile duct lithiasis with entrapment of a Dormia basket in the cystic duct. It was necessary to perform a surgical choledochotomy to deal with this rare complication.

No MeSH data available.


Related in: MedlinePlus