Abstract:Recurrent stone formation is rare after an adequate TDS and probably reflects retained food debris within the CBD. Initial treatment may be endoscopic, but biliary diversion is needed for those with recurrent symptoms.
“…Gallstones detected within 2 years after attempted removal are considered ‘residual’ [11] . Our patient’s symptoms returned within 8 months, and an MRCP confirmed the presence of a stone.…”
HighlightsECSWL failed to treat a residual gallbladder stone after failed cholecystectomy.Even if a stone is fractured, it may not be expelled by a diseased gallbladder.ECSWL should be followed by endoscopic retrieval to complete treatment.
“…Gallstones detected within 2 years after attempted removal are considered ‘residual’ [11] . Our patient’s symptoms returned within 8 months, and an MRCP confirmed the presence of a stone.…”
HighlightsECSWL failed to treat a residual gallbladder stone after failed cholecystectomy.Even if a stone is fractured, it may not be expelled by a diseased gallbladder.ECSWL should be followed by endoscopic retrieval to complete treatment.
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