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Case Reports in Medicine
Volume 2016 (2016), Article ID 6210646, 2 pages
http://dx.doi.org/10.1155/2016/6210646
Case Report

Impacted and Fractured Biliary Basket: A Second Basket Rescue Technique

1Digestive Endoscopy Unit, Central Hospital of Army (HCA), 16000 Algiers, Algeria
2Gastroenterology Department, North Hospital, University of the Mediterranean, 13000 Marseille, France

Received 2 December 2015; Accepted 27 April 2016

Academic Editor: Yoshio Yamaoka

Copyright © 2016 Mohammed Amine Benatta et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.