Endoscopy 2020; 52(S 01): S226
DOI: 10.1055/s-0040-1704707
ESGE Days 2020 ePoster Podium presentations
Saturday, April 25, 2020 14:30 – 15:00 Cholangioscopy: Stones ePoster Podium 2
© Georg Thieme Verlag KG Stuttgart · New York

WHEN ENDOSCOPY PULLS CHESTNUTS OUT OF THE FIRE: A RARE CASE OF MIRIZZI´S SYNDROME TREATED WITH LASER LITHOTRIPSY BY DIRECT PERORAL CHOLANGIOSCOPY

R Di Mitri
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
,
F Mocciaro
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
,
D Scimeca
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
,
A Bonaccorso
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
,
E Conte
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
,
ML Mastro
Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, Palermo, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aim We present a case of Mirizzi syndrome treated conservatively using laser lithotripsy by direct peroral cholangioscopy.

    Methods An 82-year-old-man was admitted due to abdominal pain and jaundice. CT-scan showed a type III of Mirizzi´s syndrome.

    Results Considering patient’s comorbidity and sugical risk we performed an ERCP failing stone extraction. We used the SpyGlass System in order to fragment the stone trough holmium laser lithotripsy by positioning the fiber in contact with the stone; all fragments were finally removed.

    Conclusions Holmium laser lithotripsy trough the SpyGlass System can help to remove CBD impacted stone in selected patients with Mirizzi´s syndrome.


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