De novo Choledocholithiasis in Retained Common Bile Duct Stent.
De novo choledocholithiasis means formation of stone in the common bile duct (CBD). It can present as biliary colic, jaundice, cholangitis, pancreatitis or it may be asymptomatic. There are various indications for biliary stenting like CBD stone, CBD stricture, biliary leak, peri ampullary carcinoma, CBD malignancy, etc. Foreign bodies like silk sutures, endo-clips, fish bone, retained T- tubes, plastic or metallic stents, etc. lead to biliary stasis leading to eventual stone formation. Here, we discuss a case of choledocholithiasis post-cholecystectomy with CBD stenting done 15 years back which had migrated and acted as a nidus for stone formation in the CBD and hepatic duct.
Resident, Department of General Surgery, Topiwala National Medical College, Bai Yamunabai Laxman Nair Hospital , Mumbai, India .
Manish H
MH
Upwanshi
Resident, Department of General Surgery, Topiwala National Medical College, Bai Yamunabai Laxman Nair Hospital , Mumbai, India .
Salman T
ST
Shaikh
Professor Additional, Department of General Surgery, Topiwala National Medical College, Bai Yamunabai Laxman Nair Hospital , Mumbai, India .
Smruti R
SR
Ghetla
Professor Additional and Unit Incharge, Department of General Surgery, Topiwala National Medical College, Bai Yamunabai Laxman Nair Hospital , Mumbai, India .
Tilakdas S
TS
Shetty
CBD stenting; Cholangiogram; Cholecystectomy