Endoclip migration into the common bile duct with stone formation: a rare complication after laparoscopic cholecystectomy.
BACKGROUND
Endoclip migration into the common bile duct after laparoscopic cholecystectomy is a rare complication. Very few cases have been reported in the literature, mostly in the form of case reports.


METHODS
We report a case of Endoclip migration into the bile duct with stone formation 6 y after laparoscopic cholecystectomy. The patient presented with recurrent abdominal pain and intermittent jaundice for 6 mo. Diagnosis was suspected when a computed tomography scan of the abdomen showed a metallic density artifact in the lower end of the bile duct. The diagnosis was confirmed by endoscopic retrograde cholangiopancreatography. The patient was successfully managed by endoscopic stone and clip removal.


CONCLUSIONS
Endoclip migration with biliary complications should be considered in the differential diagnosis of postcholecystectomy problems. The clinical manifestations and management are similar to that of noniatrogenic choledocholithiasis.
Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India. drsukantaray@yahoo.co.in
Sukanta
S
Ray
Sankar Prasad
SP
Bhattacharya
D015746:Abdominal Pain / Q000209:etiology; D001652:Bile Ducts / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000295:instrumentation; D003135:Common Bile Duct; D004108:Dilatation, Pathologic; D005548:Foreign-Body Migration / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed