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KMID : 1038120220550020297
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Clinical Endoscopy
2022 Volume.55 No. 2 p.297 ~ p.301
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Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy
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Lee Hyun-Suk
Lee Sang-Hyub
Huh Gunn
Kim Ye-Ji
Hur Sae-Beom
Hur Moon-Haeng
Lee Min-Woo
Ahn Byeong-Yun
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Abstract
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Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinical manifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography, but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Although percutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and risky if the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneous transcholecystic cholangioscopy.
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KEYWORD
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Cholangioscopy, Cholecystostomy, Choledocholithiasis
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