Abstract
BackgroundEndoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones. Although pancreatitis and bleeding have been reported as major complications of EBD, balloon-related complications are rarely reported in EBD.Case presentationA 30-year-old woman with suspected CBD stones underwent endoscopic retrograde cholangiopancreatography (ERCP) and EBD. During EBD, the balloon of the EBD catheter suddenly burst at the biliary sphincter. We therefore performed surgical intervention: removal of the broken EBD catheter and T-tube drainage. Finally, the patient was discharged without any complications.ConclusionsWe present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication.
Highlights
Endoscopic balloon dilatation (EBD) is the established treatment for common bile duct (CBD) stones
We present a case involving a burst balloon of an EBD catheter as a rare complication during EBD, as well as the surgical technique that was used to treat this complication
A computed tomography (CT) scan showing the burst balloon located at the site of the biliary sphincter (Fig. 3)
Summary
Endoscopic balloon dilatation (EBD) of the biliary sphincter can be a valuable adjunct therapeutic option for the removal of common bile duct (CBD) stones during endoscopic retrograde cholangiopancreatography (ERCP) in selected patients [1, 2]. We report a very uncommon complication wherein the balloon of an EBD catheter burst during treatment of acute cholangitis. Case presentation A 30-year-old woman was transported to our hospital by ambulance due to epigastric pain. A laboratory analysis revealed the following: white blood cells, 4000/mm; total
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