Lin JH. et al., 2024: Newly discovered stones in the common bile duct after pancreatic extracorporeal shock wave lithotripsy: where does it come from?
Lin JH, Yang T, Lv YW, Li ZS, Hu LH.
Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, 200433, China.
Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, 200433, China.
Case Report
Gastrointest Endosc. 2024 Feb 19:S0016-5107(24)00107-X. doi: 10.1016/j.gie.2024.02.010. Online ahead of print.
PMID: 38382886 No abstract available. Case report
Comments 1
The authors of this case report found stone fragments of calcium carbonate in the common bile duct after SWL of stones in the pancreatic duct. They speculate that these fragments have passed through fistulas to get there. It is difficult to interpret the angiographic images, and although fistulas between the two ducts cannot be excluded, my own suspicion is that the bile duct fragments were pancreatic fragments that had been transported there by reflux from the common path of these two ducts.
Hans-Göran Tiselius