Although basket impaction rarely occurs during retrieval of common bile duct stones, it is a potentially serious event [1]. The Trapezoid RX wire-guided retrieval basket (Boston Scientific Corp., Marlborough, Massachusetts, USA) has an emergency release feature, whereby the tip is designed to disengage, thereby facilitating basket removal and reducing the risk of impaction [2]. However, we enco...

one of the routine methods for diagnosis and treatment of cholelithiasis is endoscopic retrograde cholangiopancreatography. it is an effective method but is associated with some complications (9.8%) which the most common is pancreatitis (5.4%). one of the rare complications is basket impaction in the common bile duct which is treated with different methods. a 58 years male history of laparoscop...

The complications of mechanical lithotripsy include a trapped basket surrounding the stone, fracture of the basket wires or the main operation wire, malfunction of the mechanical lithotriptor crank handle, and ductal injury [1,2]. Impaction of a basket with a captured stone inside occurs occasionally not only during mechanical lithotripsy but also during removal of small stones with non-lithotr...

Biliary extraction baskets are a commonly used instrument for the removal of choledocholithiasis in endoscopic retrograde cholangiopancreatography (ERCP). Impaction of the extraction basket is a recognized complication of ERCP, and is usually the result of discrepancy between the size of bile duct stone and the diameter of the distal bile duct. Whilst mechanical lithotriptors can be used to cru...

One of the most common indications for endoscopic retrograde cholangiopancreatography (ERCP) is choledocholithiasis – the occurrence of stones in the common bile duct (CBD). However, in approximately 5% to 10% of cases, the procedure fails, especially in a patient with large or impacted stones [1]. An uncommon adverse event during ERCP with CBD stone clearance is impaction of the basket-stone c...

CONTEXT Though uncommon, pancreatic duct stones can cause significant discomfort and morbidity. Endoscopic removal of pancreatic stones may decrease intraductal pressure by augmenting ductal drainage. Endoscopy is shown to be most effective when used early in the course of the disease. Endoscopic methods such as mechanical lithotripsy are often successful in removing the majority of pancreatic ...

Dormia baskets are commonly used during endoscopic retrograde cholangiopancreatography (ERCP). One complication is basket retention, through impaction with a gallstone or wire fracture. We describe a case where the external handle of the basket snapped causing retained basket plus large gallstone impacted in the common bile duct (CBD). Following laparoscopic cholecystectomy, laparoscopic CBD ex...

In a patient with a distal common bile duct stone, a fracture of the traction wire of the basket occurring during the performance of mechanical lithotripsy resulted in the impaction of the lithotripter basket with a stone. The impacted lithotripter basket combined with a fracture of the traction wire is a rare complication of endoscopic stone removal. We were able to pull the impacted basket us...

The treatment of bile duct stones has evolved from surgery to endoscopic management, which has a success rate of 90% [1]. Impaction of the lithotripsy basket during endoscopic removal of a common bile duct (CBD) stones is seen in up to 5.9% of the cases [2,3] and represents one of the most feared complications; as it usually results in open surgical intervention. We report our experience with a...