Single-step percutaneous transhepatic cholecystoscopy.
A 58-year-old female patient with several concrements in the gallbladder submitted herself to pump-controlled percutaneous transhepatic chemolitholysis with methyl-tert-butyl-ether (MTBE). Shortly before the treatment terminated a calcified residual concrement caused an acute blockage of the cystic duct. After opening the puncture track with a bougie, followed by endoscopic lithotripsy, the cystic duct was made passable again.
von Sanden
H
H
1. Department of Internal Medicine, Municipal Hospital, München.
Schmitt
W
W
Ottenjann
R
R
D002760:Cholangiopancreatography, Endoscopic Retrograde; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000628:therapy*; D003549:Cystic Duct; D004724:Endoscopy / Q000379:methods*; D004987:Ethers / Q000627:therapeutic use; D005260:Female; D005704:Gallbladder; D006801:Humans; D008738:Methyl Ethers; D008875:Middle Aged; D011677:Punctures
D004987:Ethers; D008738:Methyl Ethers; C043243:methyl tert-butyl ether