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Endoscopic Removal of a Gallstone Impacted in the Major Papilla, a Case Report S. Anazawa 1 , K. Takagi 1 , K. Kuno 1 1Dept. of Surgery, Cancer Institute Hospital pp.641-644
Published Date 1972/5/25
DOI https://doi.org/10.11477/mf.1403109118
  • Abstract
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 A report is made of a case of a choledochus gallstone impacted in the major papilla that has been liberated into the duodenal lumen by means of duodenofiberscope developed in recent times.

 Case: 47-year-old man. At 38, cholecystectomy had been carried out because of gallstones. He was admitted to the hospital on account of severe epigastric pain accompanied with nausea and vomiting. Although not icteric, he had a raise of amylase level in the blood and dilatation of the choledochus as proved by x-ray. Duodenofiberscope revealed a blackish brown gallstone caught in the dilated papilla of Vater, so that the papilla was incised by biopsy forceps incorporated in the fiberscope, resulting in the falling down of the stone into the duodenal lumen.

 Next, we visualized pancreatic duct and choledochus through the entrance of papilla. No stone was demonstrated, although both ducts were enlarged. On the following day, a bilirubin gallstone, measuring 13×8×8 mm, was found in the feces. Blood amylase level had gone down after admission, but it rose slightly after the pancreatic duct had been opacified. There was no complication due to the examination.


Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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