Basketing a basket: A novel emergency rescue technique

Figure 1 Impacted stone and the entrapped basket. A metal sheath of Soehendra type extra-endoscopic mechanical lithotripter was introduced to crush the stone.

Figure 2 The second basket passed through the duodenoscope which was re-introduced, then advanced alongside the severed central wire of the first (entrapped) basket in order to catch the impacted one.

Figure 3 Tip of the impacted basket caught by the second basket.

Figure 4 Splaying of impacted basket fibers during its disengagement from the stone.

Figure 5 Still image of the retrieved Dormia basket.