在严重克罗恩病合并胆囊炎的情况下，对胆囊管内嵌顿钙化结石进行碎石术。

Stölzel U, Koszka C, Gregor M, Ziegler K, Zimmer T, Riecken E O

Department of Gastroenterology, Klinikum Steglitz, Free University of Berlin, Germany.

Gut. 1993 Aug;34(8):1145-7. doi: 10.1136/gut.34.8.1145.

A 35 year old women patient with Crohn's disease and previous multiple abdominal operations presented with a calcified stone of 12 mm diameter in the cystic duct giving rise to cholecystitis. The surgeons declined to operate because of extensive intra-abdominal adhesions caused by 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 choledochus and the cholecystitis was cured by antibiotic treatment. The patient remained symptom free after 12 months.

一名35岁患有克罗恩病且曾多次接受腹部手术的女性患者，其胆囊管内有一颗直径12毫米的钙化结石，引发了胆囊炎。由于多次肠道切除和慢性肠皮肤瘘导致广泛的腹腔内粘连，外科医生拒绝进行手术。通过三次碎石治疗，结石得以破碎。碎片通过胆总管自行排出，胆囊炎经抗生素治疗后治愈。12个月后，患者症状消失。