LITHOTRIPSY OF AN IMPACTED CALCIFIED STONE IN THE CYSTIC DUCT ACCOMPANIED BY CHOLECYSTITIS IN SEVERE CROHNS-DISEASE

Authors
STOLZEL U KOSZKA C GREGOR M ZIEGLER K ZIMMER T RIECKEN EO
Citation
U. Stolzel et al., LITHOTRIPSY OF AN IMPACTED CALCIFIED STONE IN THE CYSTIC DUCT ACCOMPANIED BY CHOLECYSTITIS IN SEVERE CROHNS-DISEASE, Gut, 34(8), 1993, pp. 1145-1147
Citations number
7
Categorie Soggetti
Gastroenterology & Hepatology
Journal title
Gut → ACNP
ISSN journal
00175749
Volume
34
Issue
8
Year of publication
1993
Pages
1145 - 1147
Database
ISI
SICI code
0017-5749(1993)34:8<1145:LOAICS>2.0.ZU;2-B
Abstract
A 35 year old women patient with Crohn's disease and previous multiple abdominal operations presented with a calcified stone of 12 mm diamet er in the cystic duct giving rise to cholecystitis. The surgeons decli ned to operate because of extensive intra-abdominal adhesions caused b y multiple intestinal resections and chronic enterocutaneous fistulas. It was possible to fragment the stone in three lithotripsy sessions. The fragments were excreted spontaneously through the ductus choledoch us and the cholecystitis was cured by antibiotic treatment. The patien t remained symptom free after 12 months.