Work

Combining pneumatic ballistic lithotripsy with an ultrasonic lithotripsy system in pancreatic duct stone surgery: A case report with video

Year: 2025

Type: article

Abstract: 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.

Source: Medicine

DOI: 10.1097/md.0000000000044139

Authors: Zhen Wang, Jun Chen, Dao-Jun Gong

Institutions: Jinhua Central Hospital, Zhejiang University

Language: English

Topic: Pancreatitis Pathology and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,950