Endoscopic management of a difficult common bile duct stone

Abstract

Endoscopic sphincterotomy and lithotripsy using a lithotripter basket have evolved as successful methods to manage bile duct stones. Endoscopic methods reduce morbidity associated with open or laparoscopic surgery. A major deterrent to successful endoscopic management of bile duct stones is large size, especially if the diameter of the stone is greater than the basket. We report a patient who had recurrent common bile duct (CBD) and hepatic duct stones, with one stone in the CBD measuring 35 mm × 33 mm, and the endoscopic technique used to clear the CBD.    

Key words: ERCP, sphincterotomy, CBD stone, lithotripsy

doi: 10.4038/cmj.v53.i3.253

Ceylon Medical Journal Vol. 53, No. 3, September 2008 pp.105-106