All issues > Volume 39(6); 1996

Case Report

J Korean Pediatr Soc. 1996;39(6):856-860. Published online June 15, 1996.

A Case of Common Bile Duct Stone Treatment with Endoscopic Sphincterotomy

Do Yoon DY Lee¹, Chang Sun CS Yoo¹, Won Kyu WK Choi¹, Jae Seung JS Yang¹, Jong Soo JS Kim¹, Dong Ki DK Lee²

¹Department of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
²Department of Internal Medicine, Yonsei University, Wonju College of Medicine, Wonju, Korea

Abstract

The cholelithiasis and common bile duct(CBD) stone are rare problems among children. Endoscopic retrograde cholangiopancretogram(ERCP) and endoscopic sphincterotomy are rarely commomly utilized in the treatment of children, primarily because there are fewerindications. ERCP is an established procedure for visualization of the biliary tract. Endoscopic sphincterotomy with stone extraction has been accepted as the treatment of choice for CBD stone removal in adults. However, the role and value of these procedures in children are not as clear. We experienced a case of CBD stone in 3-year-old boy, who suffered reccurent jaundice and abdominal pain. The boy was administrated and was diagnosed with a mild abnormal gallbldder on ultrasound. Laboratory data showed obstructive jaundice, so, an ERCP was performed and identified that the child had a distal CBD stone. An Endoscopic sphincterotomy was then performed. After the sphincterotomy, the stone passed the Ampulla of Vater spontaneously without the use of a Dormia basket or Forgathy catheter.

Keywords :Common bile duct stone, Retrograde cholangiopancretogram, Endoscopic sphincterostomy