Balloon sphincteroplasty in the management of choledocholithiasis in a 10-week-old infant.
The management of common bile duct stones in neonates has not been clearly fully standardized, although percutaneous image-guided washing of the bile duct is generally adopted as the first-line treatment. We report the case of a 10-week-old infant with a choledocholithiasis in whom anterograde sphincter balloon dilation was achieved by combining image-guided access and flexible gastroduodenoscopy. This mini-invasive strategy may be an alternative to surgery in cases of impacted choledocholithiasis resistant to bile duct washing.
Kalfa
David
D
Visceral Pediatric Surgery Department, Hôpital Nord, Université de la Méditerranée, Marseille, France. kaldv268@aol.com
Barthet
Marc
M
Chaumoître
Kathia
K
Panuel
Michel
M
Sabiani
Frédéric
F
Alessandrini
Pierre
P
Merrot
Thierry
T
D002404:Catheterization; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation / Q000379:methods; D017081:Cholecystectomy, Laparoscopic; D042883:Choledocholithiasis / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D016717:Sphincterotomy, Endoscopic