Biliary extracorporeal shock wave lithotripsy in the treatment of an impacted stone in bile duct diverticulum.
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.
Lee
S H
SH
Department of Radiology, University of British Columbia, Vancouver, Canada.
Gibney
R G
RG
Burhenne
H J
HJ
D000368:Aged; D002114:Calcinosis / Q000000981:diagnostic imaging; D003137:Common Bile Duct Diseases / Q000000981:diagnostic imaging; D004240:Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging; D042882:Gallstones / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy; D008297:Male; D011859:Radiography