Combined Percutaneous Lithotripsy and Transjejunal Stone Extraction for Intrahepatic Bile Duct Stones

Abstract This case report describes the treatment of intrahepatic duct stones in a 21-year-old woman, who developed these stones as a long-term complication after undergoing choledochal cyst excision and hepaticojejunostomy at the age of 3 years. The calculi were fragmented by combining percutaneous SpyGlass laser lithotripsy and percutaneous transjejunal crushing and retrieval of stones using a lithotripter and endoscopic retrograde cholangiopancreatography balloon extraction catheter. This case reminds us of long-term complications of stone formation after choledochal cyst surgery with biliary-enteric anastomosis and emphasizes the use of combined methods we can utilize for treating these stones.