Bouveret's syndrome presenting as gallstone ileus treated by electrohydraulic lithotripsy
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概要
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An 85-year-old woman was admitted with epigastric pain, vomiting and anemia. EGD revealed duodenal ulcer and a giant stone packed in the duodenal bulb. Ultrasonography, CT and duodenography demonstrated a giant stone with cholecystoduodenal fistula. We diagnosed it as a gallstone ileus.<BR>Bouveret's syndorome is gastric obstruction by a gallstone, which usually requires surgical operation. We tried to crash the giant stone, and then it was successfully removed by electrohydraulic lithotripsy. Endoscopic treatment of gallstone ileus is safe and effective as a less invasive alternative compared with surgery, although it requires condition that endoscope could reach the stone.
- Japan Biliary Associationの論文
Japan Biliary Association | 論文
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