Figure 1 a, b A middle-aged lady presented to our unit with progressively worsening jaundice of
5 days’ duration. There had been no preceding prodrome. Based on the clinical features
and liver function tests she was diagnosed as having surgical obstructive jaundice.
Ultrasound showed dilated intrahepatic biliary radicals and a common bile duct (CBD)
dilated as far as the lower end. The patient had undergone laparoscopic cholecystectomy
for gallstone disease 5 years previously. On endoscopic retrograde cholangiography
it was found that she had a stone, for which surgical clips had served as a nidus,
at the lower end of the CBD. The stone was removed endoscopically and the patient
improved. The migration of surgical clips as a complication of laparoscopic cholecystectomy
is a rare but increasingly diagnosed complication.
Endoscopy_UCTN_Code_CCL_1AZ_2AD