Korean Journal of Pancreas and Biliary Tract  2015;20(1):42-45

doi:10.15279/kpba.2015.20.1.42

Common Bile Duct Stone Caused by Migrated Surgical Clip 10 Years after Laparoscopic Cholecystectomy.

Sung Sam HA 1 ; Yoo Ri LIM ; Ji Hyeon LEE ; Jeong Han SIM ; Jin Sae YOO ; Kyong Joo LEE ; Dong Hyun KIM ; Jae Woo KIM

Affiliations

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Keywords

Surgical instrument; Migration; Common bile duct calculi; Cholecystectomy

Country

Republic of Korea

Language

Korean

Abstract

Rarely, surgical clips can migrate into the biliary tract after laparoscopic cholecystectomy and work as a nidus for biliary stone formation. We report a case of the development of a common bile duct (CBD) stone induced by surgical clip in a 57-year-old man who underwent laparoscopic cholecystectomy 10 years ago. On computed tomography, a CBD stone with a metallic material was found, and endoscopic retrograde cholangiopancreatography (ERCP) revealed a CBD stone including a metallic clip. The stone was removed completely by ERCP, and the surgical clip was found along with the stone.