Endoscopic Electrohydraulic Lithotripsy for Large Bowel Obstruction Secondary to Colonic Gallstone Impaction

ACG Case Reports Journal
Daniel HughesA J Portal

Abstract

Large bowel obstruction secondary to colonic gallstone impaction is rare. We report an elderly patient who presented with colonic obstruction secondary to impaction of a gallstone in a diverticular segment of his sigmoid colon. He had severe comorbidities that precluded surgery, and it was not possible to remove the gallstone using standard endoscopic techniques. Endoscopic electrohydraulic lithotripsy (EHL) was performed to fracture the gallstone, and fragments were successfully removed. For comorbid patients who are not fit for general anesthesia, endoscopic stone retrieval should be considered. When faced with large or impacted stones, EHL can be utilized to fracture the stone.

References

Apr 21, 2005·ANZ Journal of Surgery·Werner KirchmayrAlexander Klaus
Mar 25, 2010·World Journal of Gastroenterology : WJG·Martin D ZielinskiTodd H Baron
Jun 30, 2010·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Nadir OsmanAndrzej Goscimski
Jun 6, 2012·BMJ Case Reports·Tejinderjit Singh AthwalUfuk Gur
Nov 21, 2014·BMJ Case Reports·Kate SwarbrickMarianne Sampson
Feb 5, 2016·World Journal of Gastrointestinal Surgery·Carlos M Nuño-GuzmánJorge L Corona

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Citations

Oct 24, 2018·Journal of Surgical Case Reports·Roy HajjarYves Bendavid

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