Benatta Mohammed Amine, Desjeux Ariane, Barthet Marc, Grimaud Jean Charles, Gasmi Mohamed
Digestive Endoscopy Unit, Central Hospital of Army (HCA), 16000 Algiers, Algeria.
Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France.
Case Rep Med. 2016;2016:6210646. doi: 10.1155/2016/6210646. Epub 2016 May 11.
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.
一名59岁女性因胆总管多发大结石接受了内镜逆行胰胆管造影术（ERCP）、内镜括约肌切开术（ES）及胆道塑料支架置入治疗。在第二次ERCP操作中，取石篮被一颗圆形嵌顿结石卡住。取石篮手柄被切断；将体外震波碎石器的金属鞘套在取石篮上推进。机械碎石过程中出现取石篮牵引钢丝断裂的并发症，但结石未破碎。将一个备用标准取石篮推进，直至套住断裂的取石篮/结石复合体。通过这种方法，无需手术就成功取出了整个断裂的取石篮/结石复合体。这是英文文献中报道此类情况的第三例。
