A Case of Common Bile Duct Stone Resulting from a Migrated Surgical Clip after a Laparoscopic Cholecystectomy.
- Author:
Byung Won HUR
1
;
Chang Won CHOI
;
Kwang Hee KIM
;
Yun Bae KIM
;
Chang Don KANG
;
Chang Duck KIM
;
Ho Sang RYU
;
Jin Hai HYUN
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Institute of Digestive Disease and Nutrition, Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Acoustics;
Ampulla of Vater;
Cholecystectomy;
Cholecystectomy, Laparoscopic*;
Cholecystitis, Acute;
Common Bile Duct*;
Female;
Gallbladder;
Humans;
Liver;
Middle Aged;
Physical Examination;
Sclera;
Surgical Instruments*
- From:Korean Journal of Gastrointestinal Endoscopy
1999;19(1):139-142
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Laparoscopic cholecystectomy has become the choice procedure for surgical removal of symptomatic gallbladder stones. However, with the introduction and use of this technique, unusual complications can be expected. Among them, the surgical clip has become a nidus for common bile duct (CBD) stone formation; it is a rare complication of laparoscopic or open cholecystectomy. We recently experienced a case of surgical clip migration into the CBD in a patient who underwent laparoscopic cholecystectomy. A 46-year-old woman was admitted due to right upper quadrant pain which had persisted for 1 week. A year earlier, she had undergone a laparoscopic cholecystectomy for acute cholecystitis due to gallbladder stones. On admission, physical examination revealed normal findings except subicteric sclera and minimal right upper quadrant tenderness. Laboratory evaluation determined abnormal liver functioning. Abdominal sonography revealed an echogenic density with acoustic shadows within a mildly dilated CBD. Endoscopic retrograde cholangiogram revealed a single CBD stone with two metallic surgical clips forming a nidus. The stone with clips was easily removed through the dilated ampulla of Vater orifice using a Dormia basket. There were no post-ERC complications and the patient was reportedly doing well.
