Calderón-Espinosa MC, Rojas-Paredes R

Language: Spanish
References: 13
Page: 79-83
PDF size: 178.81 Kb.

ABSTRACT

Introduction: cholangioscopy is mainly used for the treatment of difficult bile duct stones and for the evaluation of indeterminate biliary strictures. Failure to remove stones from the bile duct causes biliary obstruction, cholangitis and pancreatitis with the consequent increase in morbidity and mortality, and it is important to know the indications and limitations of this procedure. Clinical case: a 63-year-old female patient attended for pain in the epigastrium with radiation to the right hypochondrium 8/10 according to the VAS, accompanied by nausea, painful on deep palpation in the right hypochondrium, with leukocytosis, neutrophilia and hyperbilirubinemia. USG: reports chronic lithiasic cholecystitis, not exacerbated. Diagnosis: icteric syndrome with an obstructive pattern secondary to probable choledocholithiasis. Laparoscopic cholecystectomy plus intraoperative cholangiography was performed, with the presence of a 1.5 cm common bile duct stone. Unsatisfactory ERCP was performed and endoprosthesis was placed. Cholangioscopy is scheduled, with successful lithotripsy. Conclusion: cholangioscopy improved the patient's prognosis, with a decrease in morbidity and mortality by avoiding the complications caused by failure to remove stones from the bile duct, being a valuable resource in the treatment of this pathology.

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