Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis

被引:3
作者
Sandru, Vasile [1 ]
Ilie, Madalina [1 ]
Plotogea, Oana [1 ]
Ungureanu, Bogdan Silviu [2 ]
Stoica, Adina [1 ]
Gheonea, Dan Ionut [2 ]
Constantinescu, Gabriel [1 ]
机构
[1] Clin Emergency Hosp, Dept Gastroenterol, Bucharest, Romania
[2] Univ Med & Pharm Craiova, Res Ctr Gastroenterol & Hepatol Craiova, Craiova, Romania
关键词
Endoscopic ultrasound; choledochoduodenostomy; acute cholangitis; lumen apposing metal stent; OBSTRUCTION;
D O I
10.5152/tjg.2018.18095
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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 AMIOS 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.
引用
收藏
页码:511 / 514
页数:4
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