title: Forgotten CBD stent (102 months) with stone-stent complex: A case report.
abstract: BACKGROUND
  Choledocholithiasis is presence of stone in Common bile duct (CBD) which can be treated by endoscopy or surgery [1]. Retained foreign bodies like stents forms a nidus for stone formation resulting in pain, fever, jaundice.
  
  
  METHODS
  60 years female patient admitted in surgery ward with features of cholangitis with computed tomography showing cholangitic abscess with dilated common bile duct and sludge around stent in situ. Stone was found at proximal end of stent during surgery.
  
  
  CONCLUSIONS
  Stents may remain without complications or may migrate, and rarely form nidus for stone formation. If kept for long time they lead to bacterial proliferation, biofilm formation and precipitation of calcium bilirubinate presenting as fever, pain, jaundice. Stent-stone complex can be treated endoscopically and surgically [6,7]. As stent can cause stone formation, infection and other complications, timely removal of stent should advised.
  
  
  CONCLUSIONS
  III-effects of stent in-situ should be explained, record should be maintained [8] and patient should be advised regular follow up and stent removal after 6 weeks.
authors.affiliation: Postgraduate Student, Department of Surgery, Government Medical College, Nagpur, India. Electronic address: varsha.barai@gmail.com.
authors.forename: Varsha
authors.initials: V
authors.lastname: Barai
authors.affiliation: Associate Professor, Department of Surgery, Government Medical College, Nagpur, India.
authors.forename: Jagadish
authors.initials: J
authors.lastname: Hedawoo
authors.affiliation: Associate Professor, Department of Surgery, Government Medical College, Nagpur, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Changole
keywords: Cholangitic abscess; Choledocholiathiasis; Forgotten stent; Stent-stone complex