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Percutaneous Transhepatic Release of an Impacted Lithotripter Basket and Its Fractured Traction Wire Using a Goose-Neck Snare: a Case Report

  • Kwon Jae-Hyun (Division of Interventional Radiology, Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University) ;
  • Lee, Jun-Kyu (Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University) ;
  • Lee, Jin-Ho (Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University) ;
  • Lee, Yong-Seok (Division of Interventional Radiology, Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University)
  • 발행 : 2011.04.01

초록

In a patient with a distal common bile duct stone, a fracture of the traction wire of the basket occurring during the performance of mechanical lithotripsy resulted in the impaction of the lithotripter basket with a stone. The impacted lithotripter basket combined with a fracture of the traction wire is a rare complication of endoscopic stone removal. We were able to pull the impacted basket using an Amplatz goose-neck snare inserted via the percutaneous transhepatic route, which resulted in the freeing of the entrapped stone into the dilated supra-ampullary bile duct. The fractured traction wire and basket could be safely removed by pulling the traction wire from the mouth. The present report is the first to describe the safe and effective use of an Amplatz goose-neck snare for the management of a lithotripter basket impacted with a stone and a fractured traction wire.

키워드

참고문헌

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  1. Unusual Complications Related to Endoscopic Retrograde Cholangiopancreatography and Its Endoscopic Treatment vol.46, pp.3, 2011, https://doi.org/10.5946/ce.2013.46.3.251
  2. Uncommon and rarely reported adverse events of endoscopic retrograde cholangiopancreatography vol.26, pp.1, 2014, https://doi.org/10.1111/den.12178
  3. Rescue balloon dilation of the ampulla for retrieving an impacted biliary extraction basket vol.15, pp.11, 2011, https://doi.org/10.1111/1751-2980.12181
  4. Argon plasma coagulation for the resolution of basket impaction from large common bile duct stones vol.4, pp.4, 2016, https://doi.org/10.1055/s-0042-100905
  5. Three case reports of impacted biliary stone extraction basket vol.85, pp.2, 2011, https://doi.org/10.1016/j.rgmxen.2020.02.003
  6. Emergency open surgery with a duodenotomy and successful removal of an impacted basket following a complicated endoscopic retrograde cholangiopancreatography procedure: a case report vol.15, pp.1, 2021, https://doi.org/10.1186/s13256-020-02608-1