Pancreatoscopic Removal of a Large Impacted Pancreatic Duct Stone

Abstract: Pancreatic duct stones are a common complication of chronic pancreatitis. Although most pancreatic duct stones can be targeted by extracorporeal shock wave lithotripsy and extracted by endoscopic retrograde cholangiopancreatography, large and radiolucent stones remain a therapeutic challenge. The author describes a case of a 54-year-old man with chronic pancreatitis and a large pancreatic duct stone with a downstream stricture within the pancreatic head. After balloon dilation of the obstruction