Percutaneous transhepatic biliary stone removal in patients with prior bile duct stents: Report of 2 cases.
| Title: | Percutaneous transhepatic biliary stone removal in patients with prior bile duct stents: Report of 2 cases. |
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| Authors: | Dat LT; General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam.; Surgery Department, Hanoi Medical University, Hanoi, Vietnam.; Long TB; Surgery Department, Hanoi Medical University, Hanoi, Vietnam.; Binh NT; Department of Radiology, Hanoi Medical University Hospital, Hanoi, Vietnam.; Dung LT; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.; Dat NT; General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam.; Truong TX; General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam.; Son ND; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Loc TQ; Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam. |
| Source: | Radiology case reports [Radiol Case Rep] 2025 Jul 12; Vol. 20 (10), pp. 4917-4920. Date of Electronic Publication: 2025 Jul 12 (Print Publication: 2025). |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2015-: Amsterdam : Elsevier; Original Publication: Seattle, WA : University of Washington, 2006- |
| Abstract: | Gallstones with bile duct stones in patients with prior stent placement challenge traditional endoscopic or surgical management, particularly in high-risk individuals. Percutaneous transhepatic biliary stone removal (PTBD) offers a minimally invasive alternative, but its role in this population is underexplored. This case series assesses PTBD's efficacy and feasibility. Two female patients (56 and 60 years) with bile duct obstruction from stones and prior stents (metallic and plastic) underwent PTBD with laser fragmentation and stent management under fluoroscopic guidance. Outcomes were tracked over 7 days, with informed consent obtained. In the 56-year-old (metallic stent, 2 months), PTBD with stent removal cleared stones; elevated bilirubin postprocedure but normalized by day 7. In the 60-year-old (plastic stent, 3 years), PTBD with sphincter dilation succeeded, with mild bilirubin increase resolving by day 7. No major complications occurred; unobstructed bile flow was restored in both. PTBD effectively manages bile duct stones in stent patients, reducing risks compared to traditional methods. Its adaptability to stent-related issues is promising, though technical challenges warrant careful planning. Further studies are needed to confirm long-term efficacy and broader applicability.; (© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
| References: | Tech Vasc Interv Radiol. 2019 Sep;22(3):139-148. (PMID: 31623754); Surg J (N Y). 2022 Mar 03;8(1):e86-e89. (PMID: 35252564); Medicina (Kaunas). 2024 Aug 02;60(8):. (PMID: 39202539) |
| Contributed Indexing: | Keywords: Bile duct stones; Gallstones; Laser; Percutaneous transhepatic biliary |
| Entry Date(s): | Date Created: 20250822 Date Completed: 20250914 Latest Revision: 20250914 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12365798 |
| DOI: | 10.1016/j.radcr.2025.06.052 |
| PMID: | 40843313 |
| Database: | MEDLINE |
Case Reports; Journal Article