Novel Methods of Management of Trapped Dormia Baskets in the Pancreatic and Biliary Ducts

Mutignani, Massimiliano; Gabbrielli, Armando; Murali, N.; Perri, Vincenzo; Costamagna, Guido

doi:10.1055/s-2007-1004089

Cited by 6 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is no consensus on the best modality to remove impacted Dormia baskets. Mechanical/laser lithotripters or extracoporeal shockwave lithotripsy have been most frequently reported for clearing the debris ( 7 , 8 , 13 , 14 ). Boston Scientific’s Trapezoid™ basket is designed to disengage or break at the tip to allow the wires to be retrieved in the event of basket failure.…”

Section: Discussionmentioning

confidence: 99%

Retained stone retrieval basket causing chronic pancreatitis: a case report

et al. 2023

View full text Add to dashboard Cite

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.

show abstract