Cholangioscope-Guided Electrohydraulic Lithotripsy as a Rescue Technique for an Impacted Dormia Basket With Large Common Bile Duct Stone

Imran Ali Syed; Muhammad Farooq Hanif; Ahmad Karim Malik; Usman Iqbal Aujla

doi:10.14309/crj.0000000000000981

Cholangioscope-Guided Electrohydraulic Lithotripsy as a Rescue Technique for an Impacted Dormia Basket With Large Common Bile Duct Stone

ACG Case Rep J. 2023 Feb 22;10(2):e00981. doi: 10.14309/crj.0000000000000981. eCollection 2023 Feb.

Authors

Imran Ali Syed¹, Muhammad Farooq Hanif¹, Ahmad Karim Malik¹, Usman Iqbal Aujla¹

Affiliation

¹ Gastroenterology and Hepatology Department, Pakistan Kidney and Liver Institute & Research Center, DHA Phase VI, Lahore, Pakistan.

Abstract

Impaction of Dormia basket while extracting common bile duct (CBD) stones during endoscopic retrograde cholangiopancreatography is a well-known but relatively rare complication. Its management could be very challenging and may require percutaneous, endoscopic, or major surgical intervention. In this study, we present a case of a 65-year-old man with a history of obstructive jaundice secondary to a large CBD stone. For stone extraction, mechanical lithotripsy with a Dormia basket was attempted resulting in its entrapment within CBD. Subsequently, the entrapped basket and large stone were retrieved using a novel technique of cholangioscope-guided electrohydraulic lithotripsy with excellent clinical outcomes.

Keywords: Cholangioscope; Dormia Basket; Electrohydraulic Lithotripsy.

Publication types

Case Reports