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Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis.
- Source :
-
The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology [Turk J Gastroenterol] 2018 Jul; Vol. 29 (4), pp. 511-514. - Publication Year :
- 2018
-
Abstract
- We present the case of a 51-year-old woman with a history of uterine cancer who presented to the emergency room with a clinical picture of acute cholangitis. An abdominal ultrasound and a computed tomography scan were performed, revealing a gigantic lymphadenopathy mass compressing the common bile duct and the duodenum. After failure to perform an endoscopic retrograde cholangiopancreatography (ERCP) due to a modified anatomy, we performed an endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) and placed a Hot AXIOS 10Fr/10 mm stent with efficient biliary drainage. In addition, we inserted a duodenal uncoated 120/22 mm expandable metallic stent. EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered as an important option for rapid biliary decompression in patients with acute cholangitis.
- Subjects :
- Acute Disease
Bile Ducts surgery
Choledochostomy methods
Drainage instrumentation
Drainage methods
Endosonography methods
Female
Humans
Middle Aged
Ultrasonography, Interventional methods
Cholangitis surgery
Choledochostomy instrumentation
Endosonography instrumentation
Self Expandable Metallic Stents
Ultrasonography, Interventional instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 2148-5607
- Volume :
- 29
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 30249569
- Full Text :
- https://doi.org/10.5152/tjg.2018.18095