Abstract
Abstract The increasing local deployment of minimally interventional radiology procedures as therapy for benign and malignant causes of obstructive jaundice in Nigeria is noteworthy. The procedures, however, have limitations. This report details an innovative multi-specialist approach to one such drawback. In our report, following a successful cholangiogram, sphincteroplasty was not possible for the removal of a large common hepatic duct staghorn calculus and multiple stones proximal to it. As standard cholangioscopic lithotripsy equipment was not available, recourse was made to the expertise of a urologist who deployed a flexible digital ureteroscope to fragment the large stone with thulium laser under direct cholangioscopic vision. This facilitated the removal of the said stone the other smaller proximal stones with no complications and prompt reversal of the clinical presentation of the patient. We highlight this case to show the significance and role of creative and collaborative thinking in the care of high-end minimally invasive procedures in our resource-limited locality.
Published Version
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