A Common Bile Duct Stone formed by Suture Material after Open Cholecystectomy.
10.3904/kjim.2007.22.4.279
- Author:
Kook Hyun KIM
1
;
Byung Ik JANG
;
Tae Nyeun KIM
Author Information
1. Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. tnk@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Suture material;
Common bile duct stone;
Cholecystectomy
- MeSH:
Aged;
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystectomy/*adverse effects;
Foreign Bodies/*complications;
Foreign-Body Migration/*complications;
Gallstones/*etiology/surgery;
Humans;
Male;
Risk Factors;
Surgical Instruments;
Sutures/*adverse effects
- From:The Korean Journal of Internal Medicine
2007;22(4):279-282
- CountryRepublic of Korea
- Language:English
-
Abstract:
The use of non-absorbable suture materials for cystic duct ligation after cholecystectomy can expose patients to the risk of recurrent stone formation in the common bile duct (CBD). However, in Korea suture materials have rarely been found to act as a nidus for common bile duct calculus formation. Recently, we experienced a case in which suture material, that had migrated from a previous cholecystectomy site into the CBD, probably served as a nidus for common bile duct stone formation. The stone was confirmed by endoscopic retrograde cholangiopancreatography (ERCP) and removed successfully using a basket. The authors report a case of surgical suture migration and discuss its subsequent role as a stone forming nucleus within the CBD in a patient who underwent open cholecystectomy; and include a review of the literature.
