Migrated endoclip and stone formation after cholecystectomy: a new danger of acute pancreatitis.
Endoclip migration into the common bile duct following laparoscopic cholecystectomy (LC) is an extremely rare complication. Migrated endoclip into the common bile duct can cause obstruction, serve as a nidus for stone formation, and cause cholangitis. We report a case of obstructive jaundice and acute biliary pancreatitis due to choledocholithiasis caused by a migrated endoclip 6 mo after LC. The patient underwent early endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy and stone extraction.
Dolay
Kemal
K
Bakirkoy Egitim ve Arastirma Hastanesi Genel Cerrahi Klinigi Endoskopi Unitesi Istanbul, Turkey. dolayk@yahoo.com
Alis
Halil
H
Soylu
Aliye
A
Altaca
Gulum
G
Aygun
Ersan
E
D000208:Acute Disease; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000295:instrumentation; D042883:Choledocholithiasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D042882:Gallstones / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016717:Sphincterotomy, Endoscopic; D013525:Surgical Instruments; D016896:Treatment Outcome