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Case Report
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| Endoscopic intraluminal holmium laser lithotripsy for obstructing colonic fecalith | ||||||
| Aaron Daters1, Kunal K. Jana2, Raymond G. Deobald3 | ||||||
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1MD, General Surgery Resident, Department of Surgery, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
2MD FRCSC, Clinical Assistant Professor, Department of Surgery, Division of Urology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. 3MD FRCSC, Assistant Clinical Professor, Department of Surgery, Division of General Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. | ||||||
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| How to cite this article |
| Daters A, Jana KK, Deobald RG. Endoscopic intraluminal holmium laser lithotripsy for obstructing colonic fecalith. Int J Case Rep Images 2016;7(6):397–401. |
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Abstract
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Introduction:
Colonic fecaliths have been fragmented with mechanical and electrohydraulic lithotripsy, however, laser lithotripsy of a fecalith has not been described.
Case Report: A case of a frail 87-year-old female with intermittent obstruction secondary to a colonic fecalith. She was an unsuitable candidate for a laparotomy. Attempts at mechanical endoscopic lithotripsy were unsuccessful. A holmium YAG laser was used endoscopically to fragment the fecalith. A polypectomy snare was used to stabilize the fecalith and later extract the fragments. Conclusion: Endoscopic intraluminal holmium laser lithotripsy provides a non-operative option for removal of an impacted fecalith. | |
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Keywords:
Endoscopic, Fecalith, Holmium YAG laser, Lithotripsy
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Author Contributions
Aaron Daters – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ray Deobald – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kunal Jana – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Aaron Daters et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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