Image of the Month| Volume 53, ISSUE 4, P498-499, April 2021

Download started.


Successful treatment of gallstone ileus with double-balloon enteroscopy-assisted electrohydraulic lithotripsy

      A 79-year-old male presented with a two-day history of obstipation and vomiting. An abdominal computed tomography (CT) demonstrated a small bowel obstruction with a 3.5 cm gallstone impacted in the mid-small bowel (Fig. 1A, arrow). The small bowel obstruction did not improve after three days of nasogastric tube decompression, therefore we performed double-balloon enteroscopy (DBE)-assisted electrohydraulic lithotripsy (EHL) for removal of the impacted stone.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Digestive and Liver Disease
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect