A Novel Approach for Removal of an Impacted Extraction Balloon Catheter in Common Bile Duct During ERCP- A Case Report

Nauman Idrees; Srisha Hebbar; Rakesh Sringeri

doi:10.36502/2021/ASJBCCR.6238

A Novel Approach for Removal of an Impacted Extraction Balloon Catheter in Common Bile Duct During ERCP- A Case Report | Abstract

Asploro Journal of Biomedical and Clinical Case Reports

ISSN: 2582-0370

Article Type: Case Report

DOI: 10.36502/2021/ASJBCCR.6238

Asp Biomed Clin Case Rep. 2021 Jun 08;4(2):103-106

Full Text HTML

Full Text PDF

Nauman Idrees^1*, Srisha Hebbar¹, Rakesh Sringeri¹
¹Royal Stoke University Hospital, Stoke, United Kingdom

Corresponding Author: Nauman Idrees, MBBS, MRCP, FHEA ^{ORCID iD}
Address: Royal Stoke University Hospital, Stoke, United Kingdom.
Received date: 26 April 2021; Accepted date: 29 May 2021; Published date: 08 June 2021

Citation: Idrees N, Hebbar S, Sringeri R. A Novel Approach for Removal of an Impacted Extraction Balloon Catheter in Common Bile Duct During ERCP- A Case Report. Asp Biomed Clin Case Rep. 2021 Jun 08;4(2):103-106.

Copyright © 2021 Idrees N, Hebbar S, Sringeri R. 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.

Keywords: Endoscopic Retrograde Cholangiopancreatography, Common Bile Duct, Liver Function Tests, Controlled Radial Expansion Balloon, Balloon Catheter, Case Report

Abbreviations: ERCP: Endoscopic Retrograde Cholangiopancreatography; CBD: Common Bile Duct; LFT’s: Liver Function Tests; CRE Balloon: Controlled Radial Expansion Balloon

Abstract

We describe the case of a 75-year-old female who underwent ERCP for choledocholithiasis. The extraction balloon catheter got impacted at the distal end of a common bile duct (CBD) during attempted stone extraction. Multiple attempts by 2 different ERCP experts to remove the balloon catheter proved unsuccessful. At the time the procedure was carried out, Spyglass Cholangioscopy was not available in the hospital. The balloon catheter was cut outside the channel of scope and used as a nasobiliary drain after an oro-nasal conversion. On repeat ERCP, a few days later, the extraction balloon catheter had fallen out spontaneously into the duodenum. The common bile duct was re-cannulated and stone was successfully removed. This is only the second case report of an impacted extraction balloon catheter in CBD.