Obstructive jaundice due to a textiloma mimicking a common bile duct stone.
A foreign body is a rare cause of obstructive jaundice. We report a 19-year-old woman with jaundice caused by a surgical gauze in the common bile duct (CBD). Four yours earlier, she had undergone a cholecystectomy and drainage for hydatid disease of the liver. Her postoperative course was complicated by a biliary fistula that healed after 50 days. She now presented with obstructive jaundice of 2 weeks' duration. Magnetic resonance cholangiopancreatography (MRCP) showed a signal-void mass, consistent with a CBD stone. Surgical exploration of the CBD revealed a surgical gauze as the cause of the obstruction. To the best of our knowledge, this is the first case of a surgical gauze obstructing the CBD requiring surgical removal.
Department of General Surgery, Hepatopancreatobiliary Unit, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Bayindir
B
Cimsit
M
M
Keskin
I
I
Ozden
A
A
Alper
D000328:Adult; D049448:Cholangiopancreatography, Magnetic Resonance; D002764:Cholecystitis / Q000175:diagnosis; D003135:Common Bile Duct; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000601:surgery; D005260:Female; D015745:Granuloma, Foreign-Body / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D015503:Surgical Sponges / Q000009:adverse effects*