A common bile duct stone formed by suture material after open cholecystectomy.
The use of non-absorbable suture materials for cystic duct ligation after cholecystectomy can expose patients to the risk of recurrent stone formation in the common bile duct (CBD). However, in Korea suture materials have rarely been found to act as a nidus for common bile duct calculus formation. Recently, we experienced a case in which suture material, that had migrated from a previous cholecystectomy site into the CBD, probably served as a nidus for common bile duct stone formation. The stone was confirmed by endoscopic retrograde cholangiopancreatography (ERCP) and removed successfully using a basket. The authors report a case of surgical suture migration and discuss its subsequent role as a stone forming nucleus within the CBD in a patient who underwent open cholecystectomy; and include a review of the literature.
Kim
Kook-Hyun
KH
Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Jang
Byung-Ik
BI
Kim
Tae-Nyeun
TN
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000009:adverse effects*; D005547:Foreign Bodies / Q000150:complications*; D005548:Foreign-Body Migration / Q000150:complications*; D042882:Gallstones / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D012307:Risk Factors; D013525:Surgical Instruments; D013537:Sutures / Q000009:adverse effects*