A Case of Treating Incarcerated Common Bile Duct Stone with Extracorporeal Shock Wave Lithotripsy During Endoscopic Extraction of Common Bile Duct Stone
Department of Internal Medicine, Kyungpook National University School of Medicine, South Korea
ABSTRACT
Theraputic endoscopic retrograde cholangiopancreatography replaced surgery as the first approach in cases of choledocolithiasis. Nowadays, endoscopic sphincterotomy combined with balloon catheters and/or baskets is the routine endoscopic technique for stone extraction in the great majority of patients. Large common bile duct stones are treated conventionally with extracorporeal shock wave lithotripsy. However, there is little report about treating incarcerated common bile duct stone with extracorporeal shock wave lithotripsy during endoscopic extraction of common bile duct stone. We report a 65 year-old man s case of treating incarcerated common bile duct stone with extracorporeal shock wave lithotripsy during a endoscopic sphincterotomy and balloon dilatation for endoscopic extraction of common bile duct stone. The incarcerated common bile duct stone was successfully removed.