Abstract
Recently, experience with extracorporeal shock wave lithotripsy (ESL) for bile duct stones has been reported in several studies.5 Fragmentation occurs in over 90% of patients. Rates of early stone clearance vary with the degree of endoscopic intervention. Although usually minor and transient, complications occur in up to 40% of patients; cutaneous hematoma, hematuria, hemobilia, and biliary pain are the most common adverse effects. We report a case of diffuse submucosal gastric hemorrhage following ESL therapy of bile duct stones, a complication heretofore undescribed.
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