Surgical clips as a nidus for stone formation in the common bile duct.
We report the case of a 40-year-old woman who presented with symptomatic gallbladder stones. A laparoscopic cholecystectomy was performed using metallic clips. Three years later, she underwent a endoscopic retrograde cholangiopancreatography (ERCP) for interscapular and right upper quadrant pain, jaundice, and fever. This examination revealed a stone and clips in the common bile duct (CBD). A sphinteroctomy was undertaken, but the stone could not be extracted despite multiple attempts. Ultimately, a Kocher incision was required to achieve choledocotomy and extraction of the stone and the clips.
Mansoa
A
A
Department of Surgery, Centro Hospitalar das Caldas da Rainha, 2500 Caldas da Rainha, Portugal.
Martins
A
A
Brito E Melo
M
M
Coito
P
P
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D042882:Gallstones / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D013525:Surgical Instruments / Q000009:adverse effects*; D016896:Treatment Outcome