Treatment of a Gastric Bezoar by Extracorporeal Shock Wave Lithotripsy

J. Benes; J. Chmel; J. Jodl; C. Stuka; J. Nevoral

doi:10.1055/s-2007-1010714

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Endoscopy 1991; 23(6): 346-348
DOI: 10.1055/s-2007-1010714

Case Report

Treatment of a Gastric Bezoar by Extracorporeal Shock Wave Lithotripsy

J. Benes¹ , J. Chmel² , J. Jodl³ , C. Stuka¹ , J. Nevoral³

¹First Department of Medicine, Charles University, Prague, Czechoslovakia
²Department of Radiology, First Faculty of Medicine, Charles University, Prague, Czechoslovakia
³First Department of Paediatric Medicine, Faculty of Paediatric Medicine, Charles University, Prague, Czechoslovakia

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Publication Date:
17 March 2008 (online)

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Abstract

A bezoar of the stomach was diagnosed by X-ray and endoscopy in an 8-year-old boy who presented with intermittent dull epigastric pain. Attempts at endoscopic extraction failed because of the size and hardness of the bezoar. Extracorporeal shock wave lithotripsy was therefore applied using ultrasound to locate the bezoar. Disintegration of the bezoar and spontaneous evacuation of the fragments was achieved.

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