Pancreas divisum, Pancreaticolith, Emergency mechanical lithotripsy, Severed basket, Impacted basket"/>
Endoscopic Removal of a Severed, Impacted Lithotomy Basket in the Pancreatic Duct in a Patient with Pancreas Divisum -Endoscopic Removal of Severed, Impacted Basket-
Korean Journal of Gastrointestinal Endoscopy 2007;34(5): 286-290.
분할췌 환자에서 췌관 내에 감돈된 절단 바스켓의 내시경적 제거
박수정·이성구·한정혜·조경욱·이상수·서동완·김명환
울산대학교 의과대학 서울아산병원 내과학교실
Endoscopic Removal of a Severed, Impacted Lithotomy Basket in the Pancreatic Duct in a Patient with Pancreas Divisum -Endoscopic Removal of Severed, Impacted Basket-
Soo Jung Park, M.D., Sung Koo Lee, M.D., Jeung Hye Han, M.D., Kyung Uk Jo, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D. and Myung-Hwan Kim, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
Therapeutic endoscopy in patients with pancreas divisum has continued to evolve with the availability of minor papilla endoscopic sphincterotomy, stenting, or sphinteroplasty. A combination of a sphincterotomy followed by balloon/basket deployment and emergency mechanical lithotripsy had facilitated the removal of impacted or large stones in the pancreatic and biliary ducts. The impaction of the basket with captured stones or rupture of the basket traction-wire during mechanical lithotripsy are rare complications. We report the successful retrieval of a center-severed and impacted lithotomy basket in the duct of Santorini in a 47-year-old patient with pancreas divisum. Endobiliary biopsy forceps were introduced into minor papilla, the basket was drawn and the stone was removed successfully after 2 months. To the best of our knowledge, this is a first report of the removal of a center-severed and impacted lithotomy basket in the pancreatic duct. (Korean J Gastrointest Endosc 2007;34:286290)
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