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. 1 A, 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. A Fujinon double-balloon enteroscope was introduced orally,

Automated summary

A 79-year-old male presented with a two-day history of obstipation and vomiting. Abdominal CT showed small bowel obstruction with a 3.5 cm gallstone impacted in the mid-small bowel. Despite three days of nasogastric tube decompression, the obstruction did not improve, leading to the use of DBE-assisted EHL for stone removal.