A Case of a Large Obstructing Pancreatic Stone Treated with Single-Operator Pancreatoscopy and Electrohydraulic Lithotripsy

Abstract Text Pancreatoscopy with lithotripsy has been proposed as an effective therapeutic strategy in patients with pancreatic stones. Here, we report a case of a 44-years-old female with clinical history of severe abdominal pain and radiological evidence of a 30 mm pancreatic stone in the cephalic portion of the main pancreatic duct (PD). Extracorporeal shock wave lithotripsy had been already attempted, without success, and surgery had been proposed, that the patient refused. ERCP with single-operator pancreatoscopy and electrohydraulic lithotripsy was performed, with complete fragmentation of the stone and extraction of the fragments. Two plastic stents were placed at the end of the procedure, and the patient was discharged without adverse events. Two months later, a second ERCP demonstrated complete clearance of the stone and fragments. The plastic stents were replaced to ensure pancreatic drainage.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/2838986a-5d18-43ae-b8ae-e3efa65f6cbe/Uploads/13821_Videocase_Pancreatolithiasis%20ESGE.mp4

Publication History

Article published online:
15 April 2024