ISSN 1300-4948 | E-ISSN 2148-5607
Case Report
Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis
1 Department of Gastroenterology, Clinical Emergency Hospital, Bucharest, Romania  
2 Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, Romania  
Turk J Gastroenterol 2018; 29: 511-514
DOI: 10.5152/tjg.2018.18095
Key Words: Endoscopic ultrasound, choledochoduodenostomy, acute cholangitis, lumen apposing metal stent
Abstract

 

We present the case of a 51-year-old woman with a history of uterine cancer who presented to the emergency room with a clinical picture of acute cholangitis. An abdominal ultrasound and a computed tomography scan were performed, revealing a gigantic lymphadenopathy mass compressing the common bile duct and the duodenum. After failure to perform an endoscopic retrograde cholangiopancreatography (ERCP) due to a modified anatomy, we performed an endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) and placed a Hot AXIOS 10Fr/10 mm stent with efficient biliary drainage. In addition, we inserted a duodenal uncoated 120/22 mm expandable metallic stent. EUS-CDS presents a valid alternative in patients with failed ERCP and should be considered as an important option for rapid biliary decompression in patients with acute cholangitis.

 

Cite this article as: Sandru V, Ilie M, Plotogea O, et al. Endoscopic ultrasound-guided choledochoduodenostomy using a lumen apposing metal stent for acute cholangitis. Turk J Gastroenterol 2018; 29: 511-4.

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AVES | Copyright © 2018 Turkish Society of Gastroenterology | Latest Update: 29.06.2018