Endoscopic removal of impacted Dormia basket: The post-cut procedure

Abstract

Endoscopic procedures are widely used for the management of bile duct stones. Pancreatitis, haemorrhage, cholangitis and intestinal perforation are the most commonly reported complications. Impaction of stone-retrieving devices such as Dormia basket is rare. It can be removed using a smaller basket, balloons, percutaneous transhepatic removal, laparoscopic retrieval or even through laparotomy. In our case, it was feasible and safe using the post cut technique which is a type of a second biliary sphincterotomy performed after a previous sphincterotomy in order to enlarge the papillary orifice and to extract the impacted Dormia basket.

A Novel Approach for Removal of an Impacted Extraction Balloon Catheter in Common Bile Duct During ERCP- A Case Report

“…This is especially the case for stones measuring 10mm or less in size. An uncommon complication with dormia basket is that it can get impacted in the lower end of CBD with an incidence of 0.8 to 5.9% [4][5][6][7].…”

Retained stone retrieval basket causing chronic pancreatitis: a case report

“…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.…”