Apel D, Jakobs R, Benz C, Martin W R, Riemann J F
Dept. of Gastroenterology, Klinikum der Stadt Ludwigshafen am Rhein, Germany.
Ital J Gastroenterol Hepatol. 1999 Dec;31(9):876-9.
A 75-year-old man with right upper quadrant abdominal pain was diagnosed by gastroscopy to have an impacted gallstone in the duodenal bulb. Using the polypectomy loop, the stone was extracted from the bulbus and mobilized into the stomach. After failure to remove the stone from the stomach as well as fragmentation by mechanical lithotripsy, electrohydraulic lithotripsy was used to break up the stone, parts of which passed spontaneously through the bowel. Thus, it was unnecessary to proceed with surgical enterolithotomy to remove, from the duodenal bulb, the impacted gallstone responsible for the gastric outlet obstruction.
一名75岁男性因右上腹疼痛接受胃镜检查，诊断为十二指肠球部有嵌顿性胆结石。使用息肉切除圈套器，将结石从十二指肠球部取出并移入胃内。在无法从胃中取出结石以及机械碎石术未能将其破碎后，采用电液压碎石术将结石击碎，部分结石自行通过肠道排出。因此，无需进行外科肠切开取石术来取出导致胃出口梗阻的十二指肠球部嵌顿性胆结石。
