Korean J Gastroenterol.  2003 Oct;42(4):347-350.

A Case of Common Bile Duct Stone Formed around a Surgical Clip after Laparoscopic Cholecystectomy

Affiliations
  • 1Department of Internal Medicine, Inha University College of Medicine, Inchon, Korea. tycos@inha.com
  • 2Department of General Surgery, Inha University College of Medicine, Inchon, Korea.

Abstract

Laparoscopic cholecystectomy has now rapidly replaced open cholecystectomy. Rarely a calculus may arise from a metallic surgical clip migrated into the common bile duct (CBD) after this surgical procedure was performed. We report a 50-year-old man with CBD stone formed around a surgical clip, who had undergone a laparoscopic cholecystectomy because of acute calculous cholecystitis 14 months before. Abdominal CT revealed a single stone in mildly dilated CBD. A high density core within the CBD stone, was suspected to be a surgical clip. The stone was removed using a retrieval balloon catheter and basket after endoscopic sphincterotomy.

Keyword

Cholecystectomy; laparoscopic; Surgical instruments; Common bile duct calculi

MeSH Terms

Cholecystectomy, Laparoscopic/adverse effects/*instrumentation
Choledocholithiasis/*etiology
*Foreign-Body Migration
Humans
Male
Middle Aged
Surgical Instruments/*adverse effects
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