Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Successful Removal of a Difficult Common Bile Duct Stone by Percutaneous Transcholecystic Cholangioscopy

  • Hyunsuk Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Sang Hyub Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Gunn Huh (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Yeji Kim (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Saebeom Hur (Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Moonhaeng Hur (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Minwoo Lee (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Byeongyun Ahn (Department of Internal Medicine, Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2020.11.17
  • Accepted : 2020.12.30
  • Published : 2022.03.30
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Abstract

Common bile duct (CBD) stones are prevalent in 11% to 21% of patients with gallstones and can cause various clinical manifestations, from biliary colic to biliary sepsis. The treatment of choice is endoscopic retrograde cholangiopancreatography, but approximately 5% to 10% of CBD stones are difficult to remove using these conventional endoscopic methods. Although percutaneous transhepatic cholangioscopy and lithotripsy can be used as an alternative, it can be technically demanding and risky if the intrahepatic duct is not dilated. We report a case of a large CBD stone that was successfully removed using percutaneous transcholecystic cholangioscopy.

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References

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