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- W2895725803 abstract "Bile duct resection and reconstruction is performed for variety of indications, including benign and malignant tumors; congenital anomalies as well as complications from biliary and gallbladder diseases or surgery. The procedure still carries small risk of complications including anastomotic leak, anastomotic stricture, disease recurrence and not to forget possibility of retained stone in certain cases. We presented a case of a 26-year-old gentleman with known history of choledochalithiasis secondary to extrahepatic fusiform choledochal cyst who underwent excision of choledochal cyst, extraction of stone and Hepatico Jejunostomy (HJ) due to episodes of recurrent cholangitis. He was well for a month post operatively until he presented again with another episode of cholangitis. Computed Tomography (CT) Scan revealed dilated intrahepatic ducts above the HJ anastomosis due to retained stone. Percutaneus Transhepatic Biliary Drainage (PTBD) was performed and he improved clinically. He subsequently underwent 3 sessions of PTBD tract dilatation until the size of 14 Fr PTBD tube. The Spyglass scope was introduced from the entry point of PTBD tract until the HJ anastomosis showed presence of 2 stones. There was no stricture at the anastomosis site and it showed good flow of contrast during cholangiogram. Due to failure of stone extraction using dormia basket and balloon, laser lithotriptor was introduced and the the stones were successfully broke into fragments. The stones were evacuated with dormia basket and some were pushed beyond the HJ anastomosis. The post procedure cholangiogram showed complete stone clearance and the PTBD tube was removed after a month." @default.
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- W2895725803 date "2018-09-01" @default.
- W2895725803 modified "2023-10-18" @default.
- W2895725803 title "Antegrade spyglass and lithoripsy as treatment modality for retained intrahepatic duct stone after biliary reconstruction" @default.
- W2895725803 doi "https://doi.org/10.1016/j.hpb.2018.06.1538" @default.
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