SpyCatcher: Use of a Novel Cholangioscopic Snare for Capture and Retrieval of a Proximally Migrated Biliary Stent
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Case Presentation and Evolution
A 60-year-old woman was evaluated in our institution with abnormal liver function tests 1 month following orthotopic liver transplantation for alcoholic cirrhosis. Vital signs were notable for a heart rate of 76 beats/min, temperature of 36.3 °C, blood pressure of 101/64 mm of Hg, and respiratory rate of 10/min. Physical examination revealed healed abdominal incisions consistent with her surgical history and no abdominal tenderness. Endoscopic retrograde cholangiopancreatography (ERCP) revealed an anastomotic biliary stricture, which was treated with ampullary sphincterotomy and placement of an 8.5 French × 7 cm straight plastic stent. Seven weeks later, she returned for repeat ERCP for incremental dilation and stent exchange as part of the management of her post-liver transplantation anastomotic biliary stricture. Her laboratory studies, including liver function tests, were normal.
This work was supported by NIH T32 Training Grant (DK007056) to MTB.
Compliance with ethical standards
Conflict of interest
None of the authors have any conflicts of interest pertaining to the study to disclose.