Medicine · 2025
Combining pneumatic ballistic lithotripsy with an ultrasonic lithotripsy system in pancreatic duct stone surgery: A case report with video.
СтатьяКлинический случайVideo-Audio MediaНазвание и аннотация: Перевод в очереди
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Wang Zhen, Chen Jun, Gong Dao-Jun
Аннотация
RATIONALE: Chronic pancreatitis can lead to the development of pancreatic stones. These stones may cause obstruction of the pancreatic duct, resulting in elevated intraductal pressure and abdominal pain. Surgery is an effective treatment for pancreatic stones. However, the removal of large pancreatic duct stones often presents significant technical challenges.
PATIENT CONCERNS: An 18-year-old female patient was admitted due to upper abdominal pain and recurrent vomiting over a 3-month period.
DIAGNOSES: Abdominal computed tomography showed multiple stones throughout the pancreatic duct and an exceptionally large stone (20 mm diameter) incarcerated in the main pancreatic duct.
INTERVENTIONS: The pancreatic duct was incarcerated within the main pancreatic duct and could not be removed. EMS lithotripsy was used to fragment and aspirate the stones.
OUTCOMES: Intraoperative exploration confirmed the absence of visible stone residues. The patient remained pain-free during the one-year postoperative follow-up.
LESSONS: EMS lithotripsy may serve as an effective alternative for patients with multiple pancreatic duct stones who are not candidates for endoscopic treatment and for whom the removal of impacted stones during surgery proves challenging.
PATIENT CONCERNS: An 18-year-old female patient was admitted due to upper abdominal pain and recurrent vomiting over a 3-month period.
DIAGNOSES: Abdominal computed tomography showed multiple stones throughout the pancreatic duct and an exceptionally large stone (20 mm diameter) incarcerated in the main pancreatic duct.
INTERVENTIONS: The pancreatic duct was incarcerated within the main pancreatic duct and could not be removed. EMS lithotripsy was used to fragment and aspirate the stones.
OUTCOMES: Intraoperative exploration confirmed the absence of visible stone residues. The patient remained pain-free during the one-year postoperative follow-up.
LESSONS: EMS lithotripsy may serve as an effective alternative for patients with multiple pancreatic duct stones who are not candidates for endoscopic treatment and for whom the removal of impacted stones during surgery proves challenging.