Metal clip as a nidus for formation of common bile duct stone following laparascopic cholecystectomy.
A 83-year-old woman came to our hospital with fever up to 38.5 degrees C, abdominal pain and jaundice. She had undergone a cholecystectomy for symptomatic gallstones in 1992. The endoscopic retrograde cholangiography showed a dilated common bile duct with a free floating surgical clip with stone formation around this foreign body. After endoscopic sphincterotomy the extraction of the foreign body was successful. We found a two cm cholesterol stone the nidus of which was built by a Filshie-clip. The post endoscopic course was uneventful.
Steffen
M
M
Medizinische Klinik I, Franziskus Hospital, Bielefeld. ccjmsteffen@t-online.de
Kronsbein
H
H
Wesche
L
L
D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D003135:Common Bile Duct; D003937:Diagnosis, Differential; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000601:surgery; D042882:Gallstones / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D017562:Postcholecystectomy Syndrome / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D016717:Sphincterotomy, Endoscopic; D013525:Surgical Instruments