Cholangitis with a silver lining.
Acute obstructive cholangitis developed secondary to a common duct stone formed around a silver hemostatic clip, introduced at cholecystectomy two years previously, that had migrated from a long cystic duct remnant. Stone formation around a silk suture is well known, and silver clips in the area of the porta hepatis may constitute a similar hazard.
D002758:Cholangiography; D002761:Cholangitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002763:Cholecystectomy / Q000009:adverse effects*; D002764:Cholecystitis / Q000601:surgery; D004724:Endoscopy; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D042882:Gallstones / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012834:Silver; D013525:Surgical Instruments
D012834:Silver