Abstract
Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is the standard endoscopic procedure for malignant biliary obstruction [1] [2]. However, the rate of EUS-HGS-associated adverse events remains high, and various severe complications, including risk factor and rescue techniques, have been reported [3] [4] [5]. We present a rare case of electrohydraulic lithotripsy (EHL) for ball valve syndrome due to a stent-stone complex after EUS-HGS.
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