Dormia basket impacted during ERCP, resolved by laparoscopic bile duct approach: Case report

Ávila, Arcenio Luis Vargas; Martín-Pérez, Jesús A.; Flores, Julián Vargas; Rodríguez, Javier; Cruz, Israel De Alba; Luna, José Luís Padierna; Galindo, Luis Ángel Guerrero; Cesar, Luis Antonio Cab

doi:10.1016/j.ijscr.2020.12.078

Cited by 4 publications

(3 citation statements)

References 41 publications

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“…Fractured Dormia baskets are an uncommon but reported occurrence during the performance of ERCP. It is estimated that the risk ranges from 1% to 6% ( 4 ), with most being caused by impaction with a large stone (more than 15 mm in diameter) or an excessive manipulation of the device, leading to a distortion of the wires by hard calculi. These incidents are usually identified and resolved during the same setting to avoid future complications such as infections, foreign body migration, and pancreatitis among others ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

“…These incidents are usually identified and resolved during the same setting to avoid future complications such as infections, foreign body migration, and pancreatitis among others ( 11 ). In a series published by Vargas Ávila et al ( 4 ), it is postulated that a large stone size (more than 15 mm in diameter) seems to be the main risk factor behind Dormia basket impaction, and it tends to occur at the ampulla of Vater just prior to exiting into the duodenum. It is extremely challenging to remove a foreign body from the head of the pancreas, with most case studies reporting balloon dilatation, sphincterotomy extension, and in many cases, open or laparoscopic surgical retrieval.…”

Section: Discussionmentioning

confidence: 99%

“…Common bile duct (CBD) stones are removed using stone extraction baskets and extraction balloon catheters, with success rates ranging from 80% to 90% (2). The procedure is not without complications (3), and although rare, there have been over 100 documented cases of extraction basket fracture in modern literature (4)(5)(6)(7)(8). The common reasons for wire fracture are impaction caused by a hard, large stone, wire fracture due to excessive manipulation, especially with the hand cranking mechanism used for lithotripsy, and inability to close the basket.…”

Section: Introductionmentioning

confidence: 99%

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Retained stone retrieval basket causing chronic pancreatitis: a case report

et al. 2023

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BackgroundEndoscopic retrograde cholangiopancreatography is a common procedure performed for choledocholithiasis and gallstone pancreatitis. Although a relatively low risk procedure, it is not without its complications. Cases of impacted Dormia baskets during stone retrieval have been reported, but these are usually retrieved surgically during the same setting.Case summaryA 40-year-old man presented to our hospital with an episode of epigastric pain and discomfort. He has a prior background of recurrent episodes of pancreatitis of which he underwent prior endoscopic therapy in his home country. Initial investigations revealed a metallic object seen on abdominal x-ray, computer tomographic scan of the abdomen and pelvis, and magnetic resonance imaging of the pancreas. Further evaluation was done with endoscopy, which revealed a retained stone extraction basket from a previous endoscopic retrograde pancreatography, resulting in recurrent episodes of acute chronic pancreatitis. Although the retained foreign body was removed, he subsequently developed further complications of portal vein thrombosis as a result of recurrent acute chronic pancreatitis, which required anticoagulation.ConclusionThis case highlights the importance of retrieving any foreign body from the pancreas, especially on the head, to prevent the development of further complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retained stone retrieval basket causing chronic pancreatitis: a case report

et al. 2023

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A case of the use electrohydraulic contact lithotripsy to eliminate the impacted of the endoscopic basket in choledocholithiasis

Kabanov,

Sementsov,

Degterev

et al. 2023

Endosk. khir.

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Laparoscopic common bile duct exploration and retrieval of endoscopic lithotripsy basket after mechanical failure

Nip,

Lynch,

Philipose

et al. 2024

Journal of Minimal Access Surgery

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Impaction of a mechanical lithotripsy basket during endoscopic retrograde cholangiopancreatography is a rare but serious complication resulting from technical failure. We describe a novel case of lithotripsy basket retrieval aided by laser fragmentation. This 87-year-old male underwent an emergency laparoscopic subtotal cholecystectomy, common bile duct (CBD) exploration and laser lithotripsy after attempts at endoscopic mechanical lithotripsy caused a stone-basket complex to become impacted within the CBD. In the absence of endoscopic salvage techniques, laparoscopic CBD exploration is a valid and safe option where surgical expertise permits.

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Dormia basket impacted during ERCP, resolved by laparoscopic bile duct approach: Case report

Cited by 4 publications

References 41 publications

Retained stone retrieval basket causing chronic pancreatitis: a case report

Retained stone retrieval basket causing chronic pancreatitis: a case report

A case of the use electrohydraulic contact lithotripsy to eliminate the impacted of the endoscopic basket in choledocholithiasis

Laparoscopic common bile duct exploration and retrieval of endoscopic lithotripsy basket after mechanical failure

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