Emergency digital cholangioscopy-assisted electrohydraulic lithotripsy for basket impaction with an entrapped bile duct stone

Basket impaction with an entrapped common bile duct stone (CBDS) is among the most challenging complications occasionally encountered by endoscopists during endoscopic lithotripsy [1] [2]. Even with the availability of various devices including a salvage lithotripter, the management of basket impaction sometimes fails, which may necessitate more invasive surgical interventions [2] [3] [4]. Herein, we report a case of basket impaction successfully managed by emergency cholangioscopy-assisted electrohydraulic lithotripsy (EHL).