Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
電気水圧衝撃波胆管結石破砕装置により治療し得たMirizzi症候群の1例
濵川 未彩山形 亘関口 修平武市 瑛子田中 志尚栗原 正道前田 元肱岡 悠子下地 耕平藤木 純子中園 綾乃井上 大堀家 英之吉岡 篤史小倉 祐紀並木 伸
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2019 年 94 巻 1 号 p. 137-138

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A 72-year-old female who was admitted to our hospital for jaundice received the diagnosis of cholangitis based on blood test and abdominal CT findings. We performed biliary drainage by placing a stent via endoscopic retrograde cholangiography (ERC). After the cholangitis improved, we attempted to remove the stone using a catheter but were unsuccessful. Cholangiography showed the stone in the cystic duct, and Mirizzi syndrome was diagnosed. We planned an electronic hydraulic lithotripsy (EHL) but replaced the stent several times due to occlusion or displacement. On Day 43 from the first visit, we used EHL to crush and remove the stone in the cystic duct. The post-operative course was uneventful, and the cholangitis has not recurred.

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© 2019 一般社団法人 日本消化器内視鏡学会 関東支部
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