POST-CHOLECYSTECTOMY CLIP AS A NIDUS FOR COMMON BILE DUCT STONE FORMATION

I Miguel; E Pijoan; N Torres; S Bazaga; G Torres; N Zaragoza; J Mª Miñana; J Garreta; J Mª Reñe; F Gonzalez-Huix

doi:10.1055/s-0040-1704049

Endoscopy, Table of Contents

Endoscopy 2020; 52(S 01): S13-S14
DOI: 10.1055/s-0040-1704049

ESGE Days 2020 oral presentations

Thursday, April 23, 2020 16:30 – 18:00 ERCP for biliary stones Liffey Hall 2

POST-CHOLECYSTECTOMY CLIP AS A NIDUS FOR COMMON BILE DUCT STONE FORMATION

I Miguel

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

E Pijoan

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

N Torres

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

S Bazaga

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

G Torres

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

N Zaragoza

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

J Mª Miñana

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

J Garreta

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

J Mª Reñe

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

F Gonzalez-Huix

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

› Author Affiliations

Abstract

Full Text

86-year-old woman who underwent cholecystectomy and ERCP for choledocholithiasis performing sphincterotomy and stone extraction. She presented to our center for epigastric pain without infection signs, finding common bile duct (CBD) dilatation and choledocholithiasis in MR-cholangiopancreatography. ERCP was performed, finding dilatation of common bile duct (15-17mm) and a 12-15mm stone with radiopaque content like surgical clips, being unable to define if it was in CBD or cystic duct. After failed attempt of standard stone extraction, an endoscopic papillary large-balloon dilatation was performed and stone removed with balloon catheter. Stone was recovered and analysed, confirming the presence of a surgical clip inside.