Disintegration of a pancreatic duct stone with extracorporeal shock waves in a patient with chronic pancreatitis.
We report the case of a 33-year-old woman with chronic calcifying pancreatitis in whom an intraductal pancreatic stone with a diameter of 8 mm was successfully disintegrated with extracorporeal shock waves, permitting subsequent endoscopic extraction of the fragments. The patient had a mild attack of pancreatitis after the treatment. We conclude that shockwave lithotripsy of a pancreatic duct stone in patients with chronic pancreatitis is possible. It should, however, be viewed with reservation until further experience has been gained.
Sauerbruch
T
T
Department of Internal Medicine II, University of Munich.
Holl
J
J
Sackmann
M
M
Werner
R
R
Wotzka
R
R
Paumgartner
G
G
D000328:Adult; D002137:Calculi / Q000150:complications / Q000628:therapy*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008096:Lithotripsy; D010182:Pancreatic Diseases / Q000150:complications / Q000628:therapy; D010183:Pancreatic Ducts; D010195:Pancreatitis / Q000150:complications*