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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1792101
Case Report

Combined Percutaneous Lithotripsy and Transjejunal Stone Extraction for Intrahepatic Bile Duct Stones

Parul Garg 
1   Department of Interventional Radiology, Aryavart Hospital, Meerut, Uttar Pradesh, India
,
Malay Sharma
1   Department of Interventional Radiology, Aryavart Hospital, Meerut, Uttar Pradesh, India
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Abstract

This case report describes the treatment of intrahepatic duct stones in a 21-year-old woman, who developed these stones as a long-term complication after undergoing choledochal cyst excision and hepaticojejunostomy at the age of 3 years. The calculi were fragmented by combining percutaneous SpyGlass laser lithotripsy and percutaneous transjejunal crushing and retrieval of stones using a lithotripter and endoscopic retrograde cholangiopancreatography balloon extraction catheter. This case reminds us of long-term complications of stone formation after choledochal cyst surgery with biliary-enteric anastomosis and emphasizes the use of combined methods we can utilize for treating these stones.

Keywords

intrahepatic duct stones - percutaneous transhepatic laser lithotripsy - transjejunal stone removal


Publication History

Article published online:
04 November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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