A Case of Biliary Obstruction Secondary to Shrapnel.
- Author:
Jeong Sik KIM
1
;
Seong Kyu PARK
;
Yun Oh BAE
;
Jin Ho KIM
;
Jeong Nyum KIM
;
Hyo Jung NAM
;
Sung Hee JUNG
;
Jae Kyu SUNG
;
Sang Jeong YOON
;
Soong Hwan LEE
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. SKpark@emc.eulji.ac.kr
- Publication Type:Case Report
- Keywords:
ERCP;
Foreign body;
Shrapnel;
Choledocholithiasis
- MeSH:
Cholangiopancreatography, Endoscopic Retrograde;
Cholangitis, Sclerosing;
Choledocholithiasis;
Common Bile Duct;
Constriction, Pathologic;
Foreign Bodies;
Humans;
Inflammation;
Jaundice;
Jaundice, Obstructive;
Korea;
Korean War;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2003;26(4):236-239
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive jaundice primarily results from choledocholithiasis, neoplasm, inflammation and infection such as primary sclerosing cholangitis, postsurgical stricture, AIDS cholangiopathy, extrinsic compression of the biliary trees. However, obstructive jaundice secondary to foreign bodies is rare. Especially, shrapnel induced biliary obstruction is very rare and has never been reported in Korea. We report a patient who had biliary obstruction due to metal shrapnel. He had shrapnel injury 52 year ago during the Korean War. For a long time, he had had no symptoms. He was admitted to our hospital for epigastric pain and jaundice. Abdominal CT scan showed a metallic foreign body in the common bile duct. The patient underwent ERCP, and the shrapnel and several stones were successfully extracted with a basket.