Endoscopy 2022; 54(S 01): S223
DOI: 10.1055/s-0042-1745195
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

PERCUTANEOUS TRANSCYSTIC CHOLANGIOSCOPY-GUIDED ELECTROHYDRAULIC LITHOTRIPSY IN A PATIENT WITH ALTERED SURGICAL ANATOMY

Authors

  • J. Ferreira-Silva

    1   Centro Hospitalar Universitário de São João, Gastroenterology, Porto, Portugal

  • E. Rodrigues-Pinto

    1   Centro Hospitalar Universitário de São João, Gastroenterology, Porto, Portugal

  • P. Pereira

    1   Centro Hospitalar Universitário de São João, Gastroenterology, Porto, Portugal

  • G. Macedo

    1   Centro Hospitalar Universitário de São João, Gastroenterology, Porto, Portugal
Further Information
Also available at
 
 

A 68-year-old man with history of distal gastrectomy underwent urgent cholecystectomy due to acute cholecystitis. Intraoperative choledochoscopy showed an unremovable common bile duct (CBD) stone; a transcystic nelaton tube was placed, with subsequent accidental displacement. As percutaneous biliary drainage persisted, percutaneous transcystic cholangioscopy-guided electrohydraulic lithotripsy was performed. Contrast instilled on percutaneous access confirmed persistence of the tract; guidewire passage into the CBD was achieved with contrast and single-operator cholangioscope assistance; cholangioscope passage was possible after dilatation of the proximal tract, with stone visualization in the distal CBD. Electrohydraulic lithotripsy was performed with stone pulverization. Patient remains well one month later.


Publication History

Article published online:
14 April 2022

© 2022. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany