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Biliary extracorporeal shock wave lithotripsy in the treatment of an impacted stone in bile duct diverticulum
S H Lee1, R G Gibney, H J Burhenne
1Department of Radiology, University of British Columbia, Vancouver, Canada.
Abstract:
A calcified, retained stone impacted in a diverticulum of the distal common bile duct was successfully treated with biliary extracorporeal shock wave lithotripsy (BESWL). The stone fragments spontaneously passed within 1 week of lithotripsy treatment without the aid of further intervention. This case is unusual in that the stone lodged in a bile duct diverticulum proved inaccessible at the time of surgical exploration.