title: A 9-year retained T-tube fragment encased within a stone as a rare cause of jaundice.
abstract: Biliary diseases such as cholangitis may cause jaundice and liver damage. Here, we report on an unusual cause of jaundice in an 84-year-old man 9 years after cholecystectomy. Ultrasound analysis revealed unclear extrahepatic cholestasis and subsequent ERCP showed a large biliary stone surrounding a T-tube fragment that had remained in the common bile duct for more than 9 years after surgery. The tip of the drainage and the stone could be successfully removed using Dormia baskets. This case suggests that plastic material accidentally left in the common bile duct favours the development of large biliary casts when present over long periods of time.
authors.affiliation: 1st Medical Clinic, Johannes Gutenberg University of Mainz, Mainz, Germany. Ahoff66286@aol.com
authors.forename: A
authors.initials: A
authors.lastname: Hoffman
authors.forename: R
authors.initials: R
authors.lastname: Kiesslich
authors.forename: P R
authors.initials: PR
authors.lastname: Galle
authors.forename: M F
authors.initials: MF
authors.lastname: Neurath
mesh_terms: D000369:Aged, 80 and over; D001649:Bile Duct Diseases / Q000209:etiology* / Q000601:surgery*; D002763:Cholecystectomy / Q000009:adverse effects* / Q000295:instrumentation; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology* / Q000517:prevention & control*; D008297:Male; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome