[Endoscopic removal of a Dormia basket impacted in the biliary tract during treatment of a difficult residual choledocholithiasis. Report of a case].
OBJECTIVE
The authors report their experience about the treatment of a broken Dormia in CBD in elder with "difficult" residual choledocholithiasis, with T tube.


METHODS
Report of case. Evaluation of effectiveness of endoscopic treatment with 2-years follow-up.


METHODS
Operative Unit of General and Thoracic Surgery, Department of Surgical, Anatomical and Oncological Disciplines. Policlinico "Paolo Giaccone"--Palermo.


METHODS
Endoscopic removal of Dormia broken and impacted in CBD after 2 session of extracorporeal shock wave lithotripsy (ESWL).


RESULTS
Resolution of the pathology with 2 session of ERCP and cholangiographic control.


CONCLUSIONS
ERCP and ES are the gold standard in the treatment of choledocholithiasis. Rare complication of this method is the rupture of Dormia Basket in CBD: this occurrence can be solved by endoscopy, but only in well experienced endoscopic teams.
Dipartimento di Discipline Chirurgiche ed Oncologiche Sezione di Chirurgia Generale ad Indirizzo Toracico, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Università Degli Studi Di Palermo. girgera@tin.it
C
C
Sciumè
G
G
Geraci
F
F
Pisello
F
F
Li Volsi
M
M
Cajozzo
G
G
Modica
D000368:Aged; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D042883:Choledocholithiasis / Q000000981:diagnostic imaging / Q000628:therapy*; D020878:Device Removal / Q000379:methods*; D004240:Diverticulum / Q000150:complications; D004378:Duodenal Diseases / Q000150:complications; D004868:Equipment Failure; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008096:Lithotripsy / Q000295:instrumentation*; D008297:Male; D011707:Pyloric Stenosis / Q000150:complications