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Korean J Pancreas Biliary Tract > Volume 1(2):1996 > Article
The Korean Journal of Pancreas and Biliary Tract 1996;1(2):287-291.
유두부에 바스켓이 감돈된 총담관 결석의 체외충격파쇄석술 치험 1예
이돈행, 정재복, 송시영, 강진경, 박인서
연세대학교 의과대학 내과학교실
A Case of Dormia Basket Impacted in the Ampulla of Vater Treated by Extracorporeal Shock Wave Lithotripsy(ESWL)
Don Haeng Lee, Jae Bock Chung, Si Young Song, Jin Kyung Kang, In Suh Park
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
Corresponding author:  Jae Bock Chung,
ABSTRACT
Endoscopic sphincterotomy(EST) has become the treatment of choice for the patients with common bile duct(CBD) stones. The removal of stones usually requires extraction by a balloon or a Dormia basket. Occasionally after engagement of the stone, Dormia basket is impacted in the distal CBD and extraction of basket proves impossible. In this situation, emergency operation has been recommended but mechanical lithotrypsy or ESWL can be use for the altemative methods. We report the case of a 76-year-old man with CBD stone of 1.2 cm size. We tried stone removal using Dormia basket after EST. However, after engagement of stone with basket, the basket was impacted in the ampulla of Vater and was not moved forward or backward. We removed endoscope and ESWL was done targeting under fluoroscopy on the basket. After ESWL, the basket was spontaneosly placed in the stomach. In conclusion, ESWL can be helpful in the rare occasion of an impacted Dormia basket in the ampulla of Vater.
Keywords: ESWL, Impacted Dormia basket, Choledocholithiasis
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Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis  2016 April;21(2)
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