Resumen

RIVERON QUEVEDO, Kelly; GONZALEZ ULLOA, Lianne  y  PEREZ MARTINEZ, Alexis. Outpatient endoscopic treatment in a patient with choledocholithiasis of great size . MEDISAN [online]. 2012, vol.16, n.12, pp. 1925-1929. ISSN 1029-3019.

The case report of a 75 year-old man, surgically treated for 18 months due to a symptomatic cholelithiasis who attended the emergency room from "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba, with pain in the right hypochondrium of intense biliary-colic type and with late postprandial occurrence, accompanied by nauseas, vomits, green jaundice, brown urine, hipocolia and inappetence is presented. Additional tests confirmed the diagnosis of choledocholithiasis of a great size, reason why he was surgically treated with endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and mechanical lithotripsy inside the choledochal lumen. All the resulting fragments of the stones were successfully extracted and the postoperative clinical course was favorable. The patient was discharged before the 24 hours of the surgery, he was re-examined after 5 days and he was definitively discharged completely asymptomatic.

Palabras clave : endoscopic retrograde cholangiopancreatography; endoscopic sphincterotomy; mechanical lithotripsy; choledocholithiasis.

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