体外衝撃波結石破砕療法で解除し得た胆石イレウスの１例

DOI 被引用文献10件 参考文献25件

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  • Gallstone Ileus Responding to Extracorporeal Shock Wave Lithotripsy (ESWL): Report of a Case

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An 80-year-old man was admitted to our hospital with vomiting. On admission, his abdomen was distended, but he had no abdominal pain or tenderness. He had a history of gallstones and generalized contractures of unknown etiology. Plain abdominal X-ray films showed massive gaseous dilatation of the small bowel in the upper abdomen. Upper gastrointestinal endoscopy showed a depressed lesion resembling a diverticulum in the anterior wall of the duodenal bulb. Abdominal CT revealed a segment of the small intestine compressed by a round calcified mass (20mm in diameter), marked intestinal distension, pneumobilia, and thickening of the gallbladder wall. These findings suggested a gallstone ileus. ESWL was applied following conservative therapy because of the high-risk status of the patient. After 8 sessions of ESWL, the ileus resolved.

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