Korean J Gastrointest Endosc.  2007 May;34(5):286-290.

Endoscopic Removal of a Severed, Impacted Lithotomy Basket in the Pancreatic Duct in a Patient with Pancreas Divisum: Endoscopic Removal of Severed, Impacted Basket

• Park SJ
• Lee SK
• Han JH
• Jo KU
• Lee SS
• Seo DW
• Kim MH

Abstract

Therapeutic endoscopy in patients with pancreas divisum has continued to evolve with the availability of minor papilla endoscopic sphincterotomy, stenting, or sphinteroplasty. A combination of a sphincterotomy followed by balloon/basket deployment and emergency mechanical lithotripsy had facilitated the removal of impacted or large stones in the pancreatic and biliary ducts. The impaction of the basket with captured stones or rupture of the basket traction-wire during mechanical lithotripsy are rare complications. We report the successful retrieval of a center-severed and impacted lithotomy basket in the duct of Santorini in a 47-year-old patient with pancreas divisum. Endobiliary biopsy forceps were introduced into minor papilla, the basket was drawn and the stone was removed successfully after 2 months. To the best of our knowledge, this is a first report of the removal of a center-severed and impacted lithotomy basket in the pancreatic duct.

Keyword

Pancreas divisum; Pancreaticolith; Emergency mechanical lithotripsy; Severed basket; Impacted basket

MeSH Terms

Biopsy
Emergencies
Endoscopy
Humans
Lithotripsy
Middle Aged
Pancreas*
Pancreatic Ducts*
Rupture
Sphincterotomy, Endoscopic
Stents
Surgical Instruments