[A difficult case of a stent-stone complex removal with endoscopic lithotomy].

Abstract

An 88-year-old patient had undergone endoscopic stenting for the treatment of acute cholangitis caused by choledocholithiasis. After a year and two months, he presented with cholangitis caused by common bile duct stones that formed a stent-stone complex. Another stent was observed adjacent to the old stent;however, the cholangitis relapsed in a short term. Thus, we planned to remove as many stones as possible. These stones were not free-floating and had affected the bile duct. Endoscopic mechanical lithotripsy was attempted;however, it failed. He was successfully treated using peroral cholangioscopy and electrohydraulic lithotripsy. After three months, he developed cholangitis because of the recurrence of choledocholithiasis. After removing as many stones as possible and performing endoscopic stenting, he was followed up as an outpatient. He had no symptoms for seven months after the procedure.

• Authors: Yuki Hirose, Akiyoshi Kinoshita, Yuko Satou, Utako Ishimoto, Masako Satou, Yuusuke Mizuno, Munenori Itagaki, Keiichi Ikeda, Kazuhiko Koike, Masayuki Saruta
• Journal: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology (Nihon Shokakibyo Gakkai Zasshi) Vol. 117 Issue 11 Pg. 1001-1007 ( 2020) ISSN: 0446-6586 [Print] Japan
• PMID: 33177252 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Cholangiopancreatography, Endoscopic Retrograde
• Choledocholithiasis (diagnostic imaging, surgery)
• Gallstones (diagnostic imaging, surgery)
• Humans
• Lithotripsy
• Male
• Stents
• Treatment Outcome