Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique.
A 59-year-old woman was treated with ERCP, ES, and biliary plastic stent, for large and multiple common bile duct stones. During a second ERCP basket extraction was impacted with a round entrapped stone. The basket handle was cut off; a metal sheath of extraendoscopic lithotriptor was advanced over the basket. The mechanical lithotripsy was complicated with basket traction wires fracturing, without breakage of the stone. A rescue standard basket was pushed until it caught the basket/stone complex. Using this method disengagement of the whole fractured basket/stone complex was achieved without need of surgery. It is the third case reported in the English literature.
Digestive Endoscopy Unit, Central Hospital of Army (HCA), 16000 Algiers, Algeria.
Mohammed Amine
MA
Benatta
Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France.
Ariane
A
Desjeux
Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France.
Marc
M
Barthet
Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France.
Jean Charles
JC
Grimaud
Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France.
Mohamed
M
Gasmi