Endoscopy 2002; 34(7): 596
DOI: 10.1055/s-2002-33223
Images in Focus

© Georg Thieme Verlag Stuttgart · New York

Intracholedochal Knotting of a Guide-Wire

B.  Kayhan1 , M.  Akdoğan1 , O.  Sezgin1 , S.  Dişibeyaz1 , B.  Şahin1
  • 1Department of Gastroenterology, TYIH, Ankara, Turkey
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Publikationsverlauf

Publikationsdatum:
12. August 2002 (online)

Figure 1 A 56-year-old man was diagnosed with distal cholangiocellular carcinoma, and treatment with placement of a biliary stent by endoscopic retrograde cholangiopancreatography (ERCP) was planned. After the selective cannulization of the common bile duct, we tried to find a way through to the mass with a black guide-wire, but the tip of the guide-wire became knotted. The knot was recognised at fluoroscopy

Figure 2 The knotting was probably caused by reuse of a disposable guide-wire

B. Kayhan, M.D.

Department of Gastroenterology, TYIH

P.K. 203, 06443 Yenişehir, Ankara, Turkey

eMail: burkaygastro@hotmail.com