Department of Internal Medicine, University Malaysia Pahang Al-Sultan Abdullah, Pahang, Malaysia
Perspective
ESWL to the Rescue for Impacted Gall Bladder Fundus Stone After Acute Cholecystitis
Author(s): Shi Min Lai*
Extracorporeal Shock Wave Lithotripsy (ESWL) offers a non-invasive alternative for managing gallstones, particularly in high-risk surgical patients. We present a case of an impacted gallbladder fundus stone following acute cholecystitis, successfully treated with ESWL. The patient, deemed unfit for cholecystectomy due to comorbidities, underwent targeted lithotripsy with subsequent stone fragmentation and symptom resolution. Imaging confirmed clearance of the obstructing stone, and the patient remained asymptomatic during follow-up. This case highlights the potential of ESWL as a safe and effective option for selected patients with impacted gallbladder stones, particularly when surgery poses significant risks. Further studies are warranted to validate outcomes... View More»