Korean J Pancreas Biliary Tract.  2015 Jan;20(1):42-45. 10.15279/kpba.2015.20.1.42.

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

Affiliations
  • 1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. smild123@yonsei.ac.kr
  • 2Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.

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.

Keyword

Surgical instrument; Migration; Common bile duct calculi; Cholecystectomy

MeSH Terms

Biliary Tract
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy
Cholecystectomy, Laparoscopic*
Common Bile Duct*
Gallstones
Humans
Middle Aged
Surgical Instruments*
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