OBSTRUCTION OF CHOLEDOCHUS BY A GALLSTONE IN THE BASKETS OF DORMIA
https://doi.org/10.57256/2949-0715-2025-4-1-43-49
Abstract
Background. Cholelithiasis and its complications, choledocholithiasis in particular, accompanied by mechanical jaundice, are still prominent in the structure of abdominal pathology. Minimally invasive transluminal cholangiolithotripsy is the primary method of restoring the bile outflow. However, when extracting large concrements, the Dormia basket can obstruct the choledochus, resulting in decubitus of the duct wall, bleeding, acute pancreatitis, etc. Therefore, this complication requires urgent open surgery: choledocholithotomy, cholecystectomy, drainage of the bile duct.
Aim. We report the case of choledochus obstruction by an extraction basket with the trapped large calculus and the subsequent management of this complication.
Materials and methods. An 87-year-old female presented with cholelithiasis and obstructive jaundice after the failed procedure of endoscopic lithotripsy. The intervention was complicated with obstruction of the hepaticocholedochus with large calculus and Dormia basket, and with traction wire rupture.
Results. After preoperative procedure, choledocholithotripsy was performed successfully, and the foreign body was removed. The patient was discharged with recovery.
Conclusion. The impaction of Dormia basket in the bile duct is a serious complication of transluminal lithotripsy, which is highly likely to be complicated with perforation of the choledochus, acute pancreatitis, and other bad outcomes. Urgent open deobstruction of the bile duct prevents these complications.
About the Authors
Mikael O. Movsisyan
Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Vladimir G. Neustroev
Irkutsk Diagnostic Center
Russian Federation
Russian Federation
Alexandr V. Novozhilov
Irkutsk State Medical University
Russian Federation
Russian Federation
Eugene G. Grigoryev
Irkutsk State Medical University
Russian Federation
Russian Federation
References
1. Baiu I., Hawn M.T. Choledocholithiasis. JAMA. 2018; 320(14): 1506. doi: 10.1001/jama.2018.11812
2. ASGE Standards of Practice Committee, Buxbaum J.L., Abbas Fehmi S.M., Sultan S., Fishman D.S., Qumseya B.J., et al. ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis. Gastrointest Endosc. 2019; 89(6): 1075-1105.e15. doi: 10.1016/j.gie.2018.10.00
3. Сайфутдинов И.М., Славин Л.Е., Хайруллин Р.Н., Зимагулов Р.Т., Давлиев М.К. Анализ осложнений транспапиллярных вмешательств. Клиническая и экспериментальная хирургия. Журнал им. акад. Б.В. Петровского. 2015; 3: 51–56 [Sayfutdinov I.M., Slavin L.E., Khayrullin R.N., Zimagulov R.T., Davliev M.K. Analysis of transpapillary interventions complications. Clinical and Experimental Surgery. Petrovsky journal. 2015; 3: 51–56 (in Russ.)]. URL: https://scardio.ru/ratings/uploads/2181.pdf?498024377 [дата доступа: 13.01.2025].
4. Misbahuddin-Leis M., Ankolvi M., Mishra M., Dubasz K., Marinov A., Müller T., et al. Unlocking the enigma: combined percutaneous-transhepatic and endoscopic strategies for retrieval of severed Dormia basket in choledocholithiasis. A case report and literature review. Radiol Case Rep. 2024; 19(7): 2745-2750. doi: 10.1016/j.radcr.2024.03.074
5. Syed I.A., Hanif M.F., Malik A.K., Aujla U.I. Cholangioscope-guided electrohydraulic lithotripsy as a rescue technique for an impacted Dormia basket with large common bile duct stone. ACG Case Rep J. 2023; 10(2): e00981. doi: 10.14309/crj.0000000000000981
6. Abu Shakra I., Bez M., Bickel A. et al. Emergency open surgery with a duodenotomy and successful removal of an impacted basket following a complicated endoscopic retrograde cholangiopancreatography procedure: a case report. J Med Case Rep. 2021; 15(1): 93. doi: 10.1186/s13256-020-02608-1
7. Carbillet S., Brazier F., Fumery M., Yzet C. Electrohydraulic lithotripsy: a safe and effective technique to retrieve an impacted Dormia basket. Endoscopy. 2024; 56(S 01): E715. doi: 10.1055/a-2371-1205
8. Kahaleh M., Freeman M. Prevention and management of post-endoscopic retrograde cholangiopancreatography complications. Clin Endosc. 2012; 45(3): 305-312. doi: 10.5946/ce.2012.45.3.305
9. Габриэль С.А., Дурлештер В.М., Гучетль А.Я., Дынько В., Гольфанд В.В. Новые горизонты эндоскопических технологий у больных с механической желтухой. Экспериментальная и клиническая гастроэнтерология. 2014; 4(104): 52-56 [Gabriel S.A., Durleshter V.M., Guchetl A.Y., Dynko V.Y., Golfand V.V. Contemporary possibilities of endoscopic surgery in obstructive jaundice. Experimental and Clinical Gastroenterology. 2014; 4(104): 52-56 (in Russ.)]. URL: https://cyberleninka.ru/article/n/novye-gorizonty-endoskopicheskih-tehnologiy-u-bolnyh-s-mehanicheskoy-zheltuhoy [дата доступа: 24.02.2025].
10. Ринчинов В.Б., Плеханов А.Н., Лудупова Е.Ю. Оценка эффективности различных эндоскопических транспапиллярных вмешательств по поводу крупного холедохолитиаза. Хирургия. Журнал им. Н.И. Пирогова. 2019; (6): 60‑64 [Rinchinov V.B., Plekhanov A.N., Ludupova E.Yu. Various endoscopic transpupillary interventions for choledocholithiasis. Pirogov Russian Journal of Surgery. 2019; (6): 60‑64 (in Russ.)]. doi: 10.17116/hirurgia201906160
11. Pereira Lima J.C., Arciniegas Sanmartin I.D., Latrônico Palma B., Oliveira Dos Santos C.E. Risk factors for success, complications, and death after endoscopic sphincterotomy for bile duct stones: a 17-year experience with 2,137 cases. Dig Dis. 2020; 38(6): 534-541. doi: 10.1159/000507321
12. Сайфутдинов И.М., Красильников Д.М., Славин Л.Е., Хайруллин Р.Н., Зимагулов Р.Т., Панасюк М.В. Выбор оптимального варианта эндоскопического лечения пациентов с холедохолитиазом. Вестник современной клинической медицины. 2021; 14(6): 58–67. [Sayfutdinov I.M., Krasilnikov D.M., Slavin L.E., Khayrullin R.N., Zimagulov R.T., Panasyuk M.V. Selection of the optimal endoscopic treatment options for patients with choledocholitiasis. The Bulletin of Contemporary Clinical Medicine. 2021; 14 (6): 58-67 (in Russ.)]. doi: 10.20969/VSKM.2021.14(6).58-67.
13. Красильников Д.М., Сафин Р.Ш., Васильев Д.Ж., Захарова А.В., Миргасимова Д.М., Юсупова А.Ф. Профилактика осложнений после эндоскопической ретроградной пакреатохолангиографии и папиллосфинктеротомии. Казанский медицинский журнал. 2012; 93(4): 597–601. [Krasilnikov D.M., Safin R.Sh., Vasilev D.Z., Zakharova A.V., Mirgasimova D.M., Yusupova A.F. Prevention of complications after endoscopic retrograde cholangiopancreatography and papillosphincterotomy. Kazan Medical Journal. 2012; 93(4): 597–601 (in Russ.). URL: https://cyberleninka.ru/article/n/profilaktika-oslozhneniy-posle-endoskopicheskoy-retrogradnoy-pakreatoholangiografii-i-papillosfinkterotomii [дата доступа: 24.02.2025].
14. Pariani D., Zetti G., Cortese F. Entrapment of a dormia basket in the cystic duct: case report. Case Rep Surg. 2012; 2012: 731230. doi: 10.1155/2012/731230
15. Nip L., Lynch M., Philipose Z., Ceraldi S. Laparoscopic common bile duct exploration and retrieval of endoscopic lithotripsy basket after mechanical failure. J Min Access Surg. 2024 Nov 29. doi: 10.4103/jmas.jmas_177_24
16. Lee J.W.K., Tan M.Y., Koh C., Iyer S.G., Gao Y. Retained stone retrieval basket causing chronic pancreatitis: a case report. Front. Surg. 2023; 10: 1235833. doi: 10.3389/fsurg.2023.1235833
17. Khamaysi I., Hajj E. Rescuing the rescuer: fractured Dormia basket and a second basket rescue technique. Euroasian J Hepatogastroenterol. 2020; 10(1): 45–46. doi: 10.5005/jp-journals-10018-1314
18. Ревякин В.И., Василенко К.В. Методы устранения вклинения корзины Дормиа в желчных протоках. Эндоскопическая хирургия. 2010; 4: 30–33 [Reviakin V.I., Vasilenko K.V. Methods of elimination of Dormia's basket impaction in bile ducts. Endoscopic Surgery. 2010; 4: 30–33 (in Russ.)]. URL: https://natmedlib.uz/fm/?sitemap/file/9qPnNo0A&view=2010/END_2010_04_30.pdf [дата доступа: 13.01.2025].
Supplementary files
Review
For citations:
Movsisyan M.O., Neustroev V.G., Novozhilov A.V., Grigoryev E.G. OBSTRUCTION OF CHOLEDOCHUS BY A GALLSTONE IN THE BASKETS OF DORMIA. Baikal Medical Journal. 2025;4(1):43-49. (In Russ.) https://doi.org/10.57256/2949-0715-2025-4-1-43-49
Views:
271
