Korean J Gastrointest Endosc.  2000 Jun;20(6):491-495.

Two Cases of Ectopic Gallstones Treated by Endoscopic Therapy

Affiliations
  • 1Department of Internal Medicine, Dae Dong Hospital, Pusan, Korea.
  • 2Department of Radiology, Dae Dong Hospital, Pusan, Korea.

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.

Keyword

Ectopic gallstone; Cholecystoduodenal fistula; EEHL
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