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Freehand endoscopic lithotripsy for Bouveret's Syndrome

Journal Volume 75 - 2012
Issue Fasc.3 - Letters
Author(s) H. Ivekovic, O. Deban, N. Rustemovic, R. Ostojic, M. Skegro
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(1) Department of Gastroenterology and Hepatology, (2) Department of Abdominal Surgery, University Hospital Centre, Zagreb, Croatia.

An 81-year-old female patient was admitted to our hospital with a 6-day history of abdominal pain and multiple episodes of vomiting. Abdominal CT showed an extensive pneumobilia, a contracted gallbladder that communicated with the duodenum, and an ovoid, calci- fied mass in duodenal bulb. At the esophagogastroduo- denoscopy, a large calculus was seen in the duodenal bulb (Fig. 1).

© Acta Gastro-Enterologica Belgica.
PMID 23082717