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Medline ® Abstract for Reference 133

of 'Rare complications of endoscopic retrograde cholangiopancreatography (ERCP)'

Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique.
Benatta MA, Desjeux A, Barthet M, Grimaud JC, Gasmi M
Case Rep Med. 2016;2016:6210646. Epub 2016 May 11.
A 59-year-old woman was treated with ERCP, ES, and biliary plastic stent, for large and multiple common bile duct stones. During a second ERCP basket extraction was impacted with a round entrapped stone. The basket handle was cut off; a metal sheath of extraendoscopic lithotriptor was advanced over the basket. The mechanical lithotripsy was complicated with basket traction wires fracturing, without breakage of the stone. A rescue standard basket was pushed until it caught the basket/stone complex. Using this method disengagement of the whole fractured basket/stone complex was achieved without need of surgery. It is the third case reported in the English literature.
Digestive Endoscopy Unit, Central Hospital of Army (HCA), 16000 Algiers, Algeria.