Obstructive jaundice secondary to endoclip migration into common bile duct after laparoscopic cholecystectomy.
Obstructive jaundice is a rare condition due to foreign body in common bile. In this article we report a 69 year-old man who was diagnosed obstructive jaundice secondary to the endoscopic clip migration. The patient had been performed laparoscopic cholecystectomy 5 years ago and had recovered without any complications. He presented with abdominal pain and jaundice. The magnetic resonance cholangiopancreatography (MRCP) revealed filling defect in choledoch consistent with a bile duct stone. The endoscopic retrograde cholangiopancreatography (ERCP) exhibited an endoclip migration into the common bile duct which caused bile duct stone. Endoclips can migrate into bile duct and cause obstructive jaundice. ERCP is the first option for its treatment.
Department of General Surgery, Faculty of Medicine, Istanbul University Instanbul, Turkey - leventavtan@gmail.com.
I C
IC
Sormaz
M
M
Keskin
R E
RE
Sönmez
Y
Y
Soytaş
Y
Y
Tekant
L
L
Avtan
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D002763:Cholecystectomy / Q000379:methods; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003135:Common Bile Duct; D005547:Foreign Bodies; D005548:Foreign-Body Migration; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D013525:Surgical Instruments / Q000009:adverse effects*; D016896:Treatment Outcome