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Case Reports
. 2021 Apr 27;2021(4):rjab144.
doi: 10.1093/jscr/rjab144. eCollection 2021 Apr.

Laparoscopic trans-cystic common bile duct exploration and treatment of choledocholithiasis in a patient with Roux-en-Y reconstruction after gastrectomy: report of an emergency case

Marco Giacometti  1 , Francesco Battafarano  1 , Orazio Geraci  1 , Sandro Zonta  1
Affiliations
Case Reports

Laparoscopic trans-cystic common bile duct exploration and treatment of choledocholithiasis in a patient with Roux-en-Y reconstruction after gastrectomy: report of an emergency case

Marco Giacometti et al. J Surg Case Rep. .

Abstract

We present the case of choledocholithiasis with purulent cholangitis treated with laparoscopic approach in a patient with Roux-en-Y reconstruction after total gastrectomy. After cholangiography, the common bile duct was explored with trans-cystic choledochoscopy and the retained stone extracted under direct vision.

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Figures

Figure 1
Figure 1
Computed tomography scan image showing stone in CBD.
Figure 2
Figure 2
Computed tomography scan image showing stone in CBD.
Figure 3
Figure 3
Trans-cystic cholangiography demonstrating prepapillary lithiasis.
Figure 4
Figure 4
Choledochoscopic vision of CBD-retained stone.
Figure 5
Figure 5
Trans-cystic stone extraction with Dormia basket.
Figure 6
Figure 6
Postprocedure cholangiography.
See this image and copyright information in PMC

References

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