Endoscopic removal of a fish bone piercing the bile duct after pancreaticoduodenectomy

Fishbone Migration in the Intrahepatic Bile Duct after Pancreaticoduodenectomy

A 71-year-old-man was admitted to our hospital with a fever over 39°C. He had undergone pancreaticoduodenectomy for cholangiocarcinoma and suffered from recurrent cholangitis for a year after the surgery. Although laboratory data showed an elevated white blood cell count (13,100/mL) and C-reactive protein (6.53 mg/dL), no marked elevation was noted in the hepatobiliary enzymes. However, abdomin...

A Bile Duct Stone Formation around a Fish Bone as a Nidus after Pancreatoduodenectomy

We report a rare case of bile duct stone formation around an ingested fish bone as a nidus after pancreatoduodenectomy. A 78-year-old woman was admitted to our department for fever and epigastric pain. Abdominal computed tomography revealed an elongated bile duct stone containing a linearly shaped foreign body of bone density. Enteroscopic lithotomy was performed using single balloon enteroscop...

Successful Removal of A Large Stone from the Common Bile Duct by Endoscopic Papillotomy and Lithotripsy

Intact removal of seven metal stents from the bile duct in a single endoscopic session.

gone placement of multiple uncovered biliary metal stents (Wallstent; Boston Scientific, Natick, Massachusetts, USA) over the previous 10 years for an indeterminate distal common bile duct (CBD) stricture was referred to us for an attempt at removal of the stents. She had recently been undergoing monthly sessions of endoscopic retrograde cholangiopancreatography (ERCP) to clean the stents as tr...

Risk factors for recurrent bile duct stones after endoscopic papillotomy.

BACKGROUND The long term outcome of endoscopic papillotomy (EPT) is not well known. The aims of this study were to clarify the clinical course of post-EPT patients and to detect predictors for bile duct stone recurrence. METHODS A total of 1042 consecutive patients who underwent EPT for bile duct stones from December 1975 to September 1998 were prospectively followed up. Patients were divided...