Open AccessFailed common bile duct cannulation during pregnancy: Rescue with endoscopic ultrasound guided rendezvous procedure
Author(s) -
Vikas Singla,
Anil Arora,
Pankaj Tyagi,
Praveen Sharma,
Naresh Bansal,
Ashish Kumar
Publication year - 2016
Publication title -
endoscopic ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.883
H-Index - 24
eISSN - 2303-9027
pISSN - 2226-7190
DOI - 10.4103/2303-9027.183977
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , rendezvous , common bile duct , pregnancy , surgery , rescue therapy , endoscopic ultrasound , general surgery , radiology , pancreatitis , biology , engineering , spacecraft , genetics , aerospace engineering
Common bile duct (CBD) stones can lead to serious complications and require intervention with either endoscopic retrograde cholangiopancreatography (ERCP) or laparoscopic techniques for urgent relief. On an average 10%-20% of the patients with gall bladder stones can have associated CBD stones. CBD stones during pregnancy can be associated with hazardous complications for both the mother and the fetus. Failed cannulation while performing ERCP during pregnancy is a technically demanding situation, which requires immediate rescue with special techniques. Conventional rescue techniques may not be feasible and can be associated with hazardous consequences. Endoscopic ultrasound (EUS) guided rendezvous technique has now emerged as a safe alternative, and in one of our patients, this technique was successfully attempted. To the best of our knowledge, this is the first case report in the literature on EUS-guided rendezvous procedure during pregnancy.