SUCCESSFUL ENDOSCOPIC PAPILLARY BALLOON DILATATION (EPBD) FOR COMMON BILE DUCT STONES IN CHILD WITH HEREDITARY SPHEROCYTOSIS (HS) :REPORT OF A CASE

Abstract

A 5-year-old boy who had hereditary spherocytosis (HS) was admitted to our hospital with having symptoms of abdominal pain and icterus. Gallbladder stones and common bile duct stones (CBD stones) were recognized by abdominal CT scan and ultrasonography. It was thought that gallbladder stones occur from HS and they fell down into common bile duct, so we carried out endoscopic papillary balloon dilatation (EPBD) and endoscopic removal of the CBD stones for preserving the function of the Sphincter of Oddi. Owing to that, we could carry out laparoscopic cholecystectomy and splenectomy, and diminish his burden to his body. Endoscopic removal of the CBD stones after EPBD is an effective approach for the management of choledocholithiasis in children in point of diminishing their burden and preserving the function of their Sphincter of Oddi.