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One of the most common indications for endoscopic retrograde cholangiopancreatography (ERCP) is choledocholithiasis – the occurrence of stones in the common bile duct (CBD). However, in approximately 5 % to 10 % of cases, the procedure fails, especially in a patient with large or impacted stones 1. An uncommon adverse event during ERCP with CBD stone clearance is impaction of the basket-stone complex, which sometimes leads to unnecessary surgical procedures such as laparoscopy or even exploratory laparotomy. This report describes a patient in whom argon plasma coagulation (APC) was used to resolve basket-stone impaction.

Argon plasma coagulation for the resolution of basket impaction from large common bile duct stones