Abstract
Pancreatic duct stones are a common complication of chronic pancreatitis. Although most pancreatic duct stones can be targeted by extracorporeal shock wave lithotripsy and extracted by endoscopic retrograde cholangiopancreatography, large and radiolucent stones remain a therapeutic challenge. The author describes a case of a 54-year-old man with chronic pancreatitis and a large pancreatic duct stone with a downstream stricture within the pancreatic head. After balloon dilation of the obstruction, direct pancreatoscopy with an ultraslim endoscope was performed and the stone under direct vision was extracted successfully. This article is part of an expert video encyclopedia.
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