Euroasian Journal of Hepato-Gastroenterology

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VOLUME 10 , ISSUE 1 ( January-June, 2020 ) > List of Articles

CASE REPORT

Rescuing the Rescuer: Fractured Dormia Basket and a Second Basket Rescue Technique

Iyad Khamaysi, Eisa Hajj

Keywords : Endoscopic retrograde cholangiopancreatography, Fractured Dormia Basket, Rescue

Citation Information : Khamaysi I, Hajj E. Rescuing the Rescuer: Fractured Dormia Basket and a Second Basket Rescue Technique. Euroasian J Hepatogastroenterol 2020; 10 (1):45-46.

DOI: 10.5005/jp-journals-10018-1314

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Mechanical lithotripsy is one of the well-known rescue methods for impacted common bile duct (CBD) stones. A fractured Dormia basket with a captured stone is an unusual complication and poses a special management problem. In the past, surgical intervention was the standard method. Various nonsurgical techniques have been reported. If the impaction is at the level of the papilla, extending the sphincterotomy might be sufficient. Stent insertion, endoscopic mechanical lithotripsy, extracorporeal shock wave lithotripsy, endoscopic laser lithotripsy, and transhepatic choledochoscopic lithotripsy have all been reported. In this case, we used a second basket, which is readily available and less expensive, as a rescue technique.


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  1. Cotton PB. Endoscopic management of bile duct stones; (apples and oranges). Gut 1984;25(6):587–597. DOI: 10.1136/gut.25.6.587.
  2. Hochberger J, Tex S, Maiss J, et al. Management of difficult common bile duct stones. Gastrointest Endosc Clin N Am 2003;13(4):623–634. DOI: 10.1016/s1052-5157(03)00102-8.
  3. Benatta MA, Desjeux A, Barthet M, et al. Impacted and fractured biliary basket: a second basket rescue technique. Case Rep Med 2016;2016:6210646. DOI: 10.1155/2016/6210646.
  4. Khawaja FI, Ahmad MM. Basketing a basket: A novel emergency rescue technique. World J Gastrointest Endosc 2012;4(9):429–431. DOI: 10.4253/wjge.v4.i9.429.
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