胆总管ERCP中阻生球囊导管拔除的新方法- 1例报告

N. Idrees, S. Hebbar, Rakesh Sringeri
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引用次数: 0

摘要

我们描述一例75岁女性因胆总管结石接受ERCP检查。在尝试取石的过程中,提取球囊导管在胆总管(CBD)的远端受到冲击。两位不同的ERCP专家多次尝试移除球囊导管均未成功。在进行手术时,医院没有Spyglass胆道镜检查。球囊导管在窥镜通道外切开,经口鼻转换后用作鼻胆管引流管。在重复的ERCP检查中,几天后,提取球囊导管自发脱落进入十二指肠。胆总管被重新插管,结石被成功取出。这只是CBD第二例受影响的提取球囊导管病例报告。
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A Novel Approach for Removal of an Impacted Extraction Balloon Catheter in Common Bile Duct During ERCP- A Case Report
We describe the case of a 75-year-old female who underwent ERCP for choledocholithiasis. The extraction balloon catheter got impacted at the distal end of a common bile duct (CBD) during attempted stone extraction. Multiple attempts by 2 different ERCP experts to remove the balloon catheter proved unsuccessful. At the time the procedure was carried out, Spyglass Cholangioscopy was not available in the hospital. The balloon catheter was cut outside the channel of scope and used as a nasobiliary drain after an oro-nasal conversion. On repeat ERCP, a few days later, the extraction balloon catheter had fallen out spontaneously into the duodenum. The common bile duct was re-cannulated and stone was successfully removed. This is only the second case report of an impacted extraction balloon catheter in CBD.
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