Endoscopy 2021; 53(S 01): S212
DOI: 10.1055/s-0041-1724842
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Cholangioscopy With Electrohydraulic Lithotripsy (EHL) for Post-Cholecystectomy Mirizzi Syndrome

A Sioulas
1   Hygeia Hospital, 3rd Gastroenterology Department, Athens, Greece
,
M Spinou
1   Hygeia Hospital, 3rd Gastroenterology Department, Athens, Greece
,
K Papadaki
1   Hygeia Hospital, 3rd Gastroenterology Department, Athens, Greece
,
I Scotiniotis
1   Hygeia Hospital, 3rd Gastroenterology Department, Athens, Greece
› Author Affiliations
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Α 48-year-old man with a history of laparoscopic cholecystectomy presented with right upper quadrant pain and jaundice. Magnetic Resonance Cholangiopancreatography showed a cystic duct stump stone causing proximal dilation of the biliary system, with normal distal common bile duct (CBD) diameter.

Endoscopic Retrograde Cholangiopancreatography confirmed the diagnosis of Mirizzi syndrome. However, removal of the stone with the conventional methods was unfeasible.

Subsequently, a cholangioscope (SpyGlassTM DS system) was advanced into the CBD revealing a stone impacted at the opening of the cystic duct stump. The stone was fragmented into multiple pieces by EHL, allowing complete removal with a balloon-catheter.

Citation Sioulas A, Spinou M, Papadaki K et al. eP351V CHOLANGIOSCOPY WITH ELECTROHYDRAULIC LITHOTRIPSY (EHL) FOR POST-CHOLECYSTECTOMY MIRIZZI SYNDROME. Endoscopy 2021; 53: S212.



Publication History

Article published online:
19 March 2021

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