title: Shrapnel splinter in the common bile duct.
abstract: Obstructive jaundice is infrequently caused by a foreign body. We report a 42-year-old man who presented with obstructive jaundice by an impacted shrapnel splinter in the common bile duct (CBD) 23 years after a combat injury. To our knowledge, this is the first case report of this type in Iranian literature, although there are a few reports of combat related injuries in other countries. This diagnosis should be considered in the assessment of any patient with jaundice and abdominal pain who has experienced a previous combat injury.
authors.affiliation: Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Science, University Ave., 5166614756 Tabriz, Iran. mhosseinsina@yahoo.com
authors.forename: Mohammad Hossein
authors.initials: MH
authors.lastname: Somi
authors.forename: Parisa
authors.initials: P
authors.lastname: Rezaeifar
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000150:complications; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003135:Common Bile Duct / Q000000981:diagnostic imaging; D003137:Common Bile Duct Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005547:Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D007492:Iran; D008297:Male; D014057:Tomography, X-Ray Computed; D014857:Warfare