Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique

Abstract EN

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.