Abstract
A calcified, retained stone impacted in a diverticulum of the distal common bile duct was successfully treated with biliary extracorporeal shock wave lithotripsy (BESWL). The stone fragments spontaneously passed within 1 week of lithotripsy treatment without the aid of further intervention. This case is unusual in that the stone lodged in a bile duct diverticulum proved inaccessible at the time of surgical exploration.
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Burhenne HJ: Percutaneous extraction of retained biliary tract stones: 661 patients.AJR 134:888–898, 1980
Cotton PB: Endoscopic management of bile duct stones (apples and oranges).Gut 25:587–597, 1984
Sauerbruch T, Delius M, Paumgartner G, Holl J, Wess O, Weber W, Hepp W, Brendel W: Fragmentation of gallstones by extracorporeal shock waves.N Engl J Med 314:818–822, 1986
Sauerbruch T, Stern M: Fragmentation of bile duct stones by extracorporeal shock waves.Gastroenterology 96:146–152, 1989
Becker CD, Fache JS, Gibney RG, Stoller JL, Burhenne HJ: Treatment of retained cystic duct stones using extracorporeal shockwave lithotripsy.AJR 148:1121–1122, 1987
Burhenne HJ, Fache JS, Gibney RG, Rowley VA, Becker CD: Biliary lithotripsy by extracorporeal Shockwaves: Integral part of nonsurgical intervention.AJR 150:1279–1283, 1988
Rawat B, Burhenne HJ: Extracorporeal lithotripsy of calcified gallbladder stones. Presented at the 75th Scientific Assembly and Annual Meeting of the Radiological Society of North America, Chicago, IL, Nov. 26–Dec. 1, 1989
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Lee, S.H., Gibney, R.G. & Burhenne, H.J. Biliary extracorporeal shock wave lithotripsy in the treatment of an impacted stone in bile duct diverticulum. Gastrointest Radiol 15, 317–319 (1990). https://doi.org/10.1007/BF01888808
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DOI: https://doi.org/10.1007/BF01888808