Biliary obstruction complicating extracorporeal shock wave lithotripsy.
An elderly woman with a solitary right kidney and unrecognized cholelithiasis underwent extracorporeal shock wave lithotripsy for renal calculi. Postoperatively, biliary obstruction developed that required emergency surgery. Pathological evaluation of the biliary calculi revealed superficial fragmentation. It is suggested that extracorporeal shock wave lithotripsy was responsible for the gallstone fragmentation and resultant bile duct obstruction.
Krongrad
A
A
Department of Urology, Mount Sinai Medical Center, New York, New York 10029.
Kirschenbaum
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A
Saltzman
B
B
D000368:Aged; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis; D002779:Cholestasis / Q000209:etiology*; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D014463:Ultrasonography