Obstructive jaundice due to an impacted stone in the common bile duct (CBD) was seen in a patient who had previously undergone Billroth II gastric resection and cholecystectomy. Surgical and endoscopic approaches to the common bile duct failed owing to pericholedochal adhesions and the excessive length of the duodenal loop. The patient was therefore treated percutaneously (sphincterotomy and stone extraction) without endoscopic control.

Percutaneous transhepatic sphincterotomy of the major papilla and stone extraction without endoscopic control

ANGELINI, Giampaolo;MANSUETO, Giancarlo;
1997

Abstract

Obstructive jaundice due to an impacted stone in the common bile duct (CBD) was seen in a patient who had previously undergone Billroth II gastric resection and cholecystectomy. Surgical and endoscopic approaches to the common bile duct failed owing to pericholedochal adhesions and the excessive length of the duodenal loop. The patient was therefore treated percutaneously (sphincterotomy and stone extraction) without endoscopic control.
Bile stones; Endoscopy; Transhepatic cholangiography; Transhepatic sphincterotomy
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/12426
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