Korean J Gastrointest Endosc.  2003 Apr;26(4):236-239.

A Case of Biliary Obstruction Secondary to Shrapnel

Affiliations
  • 1Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. SKpark@emc.eulji.ac.kr

Abstract

Obstructive jaundice primarily results from choledocholithiasis, neoplasm, inflammation and infection such as primary sclerosing cholangitis, postsurgical stricture, AIDS cholangiopathy, extrinsic compression of the biliary trees. However, obstructive jaundice secondary to foreign bodies is rare. Especially, shrapnel induced biliary obstruction is very rare and has never been reported in Korea. We report a patient who had biliary obstruction due to metal shrapnel. He had shrapnel injury 52 year ago during the Korean War. For a long time, he had had no symptoms. He was admitted to our hospital for epigastric pain and jaundice. Abdominal CT scan showed a metallic foreign body in the common bile duct. The patient underwent ERCP, and the shrapnel and several stones were successfully extracted with a basket.

Keyword

ERCP; Foreign body; Shrapnel; Choledocholithiasis

MeSH Terms

Cholangiopancreatography, Endoscopic Retrograde
Cholangitis, Sclerosing
Choledocholithiasis
Common Bile Duct
Constriction, Pathologic
Foreign Bodies
Humans
Inflammation
Jaundice
Jaundice, Obstructive
Korea
Korean War
Tomography, X-Ray Computed
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