Two Cases of Ectopic Gallstones Treated by Endoscopic Therapy.
- Author:
Yeoung Hoon WHANG
1
;
Yong Mock BAE
;
Hyeung Jin KIM
;
Gil Dong SEO
;
Myoung June KIM
;
Su Hyoung KIM
;
Il Doo KIM
;
Mi Hwa JANG
;
Sang Hyun KIM
;
Seung Rack JO
;
Seong Youb LIM
Author Information
1. Department of Internal Medicine, Dae Dong Hospital, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Ectopic gallstone;
Cholecystoduodenal fistula;
EEHL
- MeSH:
Abdomen;
Aged;
Duodenum;
Fistula;
Gallstones*;
Humans;
Intestinal Fistula;
Lithotripsy;
Middle Aged;
SNARE Proteins;
Stomach;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(6):491-495
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Two cases are herein reported involving patients with ectopic gallstones which were discharged into the stomach and duodenum through a cholecystoduodenal fistula and successfully removed by endoscopic therapy. In the first case, a 75-year-old man was admitted with epigastric pain. Simple abdomen film demonstrated a round laminated calcification and air biliarygram in the RUQ. Endoscopic examination revealed a fistula on the posterior wall of the duodenal bulb and a brown stone (about 5 cm in diameter) was found in the second portion of the duodenum, It was demolished through endoscopic electrohydraulic lithotripsy (EEH1) and discharged with the stool. In the second case, a 55-year-old man was admitted with epigastric pain. A CT scan revealed an ovoid laminated calcification in the dependent portion of the stomach. Endoscopic examination revealed a fistula on the anterior wa11 of' the duodenal bulb and a black pigmented stone (about 2.5 cm in diameter) was found in the stomach. This stone was removed orally by an endoscopic snare. These patients were discharged and remained asymptomatic.
