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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(03): 188-190
DOI: 10.1055/s-0039-3401394
Case Report
Society of Gastrointestinal Endoscopy of India

CBD Stone Formation Over Migrated Surgical Clip: A Rare Complication Developed Fourteen Years after Laparoscopic Cholecystectomy

Parth Shah
1   Department of Gastroenterology, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Pravin Rathi
2   Department of Gastroenterology, B.Y.L. Nair Charitable Hospital, Mumbai, India
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Publikationsdatum:
12. Dezember 2019 (online)

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Abstract

Laparoscopic cholecystectomy (LC) is currently the treatment of choice for symptomatic gallstones. Migration of surgical clips into common bile duct (CBD) is a rare complication after LC. Migrated surgical clips may lead to further complications like cholangitis, choledocholithiasis. We report a rare case of CBD stone formed over migrated surgical clips, 14 years after LC. A 41-year-old male with history of LC 14 years back, presented with repeated episodes of biliary colic. Computed tomography (CT) scan abdomen showed CBD stones with metallic foreign bodies and prominent CBD. Patient was managed successfully with endoscopic retrograde cholangiopancreatography. Patient became asymptomatic thereafter. This case is a rare complication developed after a very commonly performed surgery.

Keywords

common bile duct stone - endoscopic retrograde cholangiopancreatography - laparoscopic cholecystectomy - surgical clip migration
 

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