A case of bile duct stones after surgery for congenital biliary dilatation successfully treated by hybrid endoscopic treatment with surgery

Abstract

A 16-year-old male after surgery for congenital biliary dilatation was admitted to our hospital with bile duct stone cholangitis. Our primary treatment option was endoscopic procedure using single-ballon endoscopy. However, it was challenging to reach the hepaticojejunal anastomosis, because the surgical record was lost. In our case, we successfully performed a hybrid endoscopic treatment in which a 12-mm port was inserted into the postoperative bowel under a small laparotomy, followed by endoscopic treatment. His postoperative course was satisfactory, and he was discharged six days after surgery. This treatment method may be an alternative approach when less invasive treatment is favoured and endoscopic procedures are difficult to implement.