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.
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Published online: July 17, 2020
Accepted: July 2, 2020
Received: June 26, 2020
© 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.