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Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone

Received: 3 January 2017     Accepted: 17 May 2017     Published: 10 July 2017
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Abstract

Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.

Published in International Journal of Gastroenterology (Volume 1, Issue 1)
DOI 10.11648/j.ijg.20170101.16
Page(s) 9-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Laproscopic Cholecystectomy, Surgical Clips, Complication, Clip Migrations, ERCP

References
[1] Ghazanfari K, Gollapudi PR, Konicek FJ, Olivera A Jr, Madayag M, Warner J. Surgical clip as a nidus for com¬mon bile duct stone formation and successful endoscopic therapy. Gastrointest Endosc1992; 38: 611–3.
[2] Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Cam¬pion JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic chole¬cystectomy treated by endoscopic biliary sphincterotomy. Gastrointest Endosc 1992; 38: 608–11.
[3] Dhalla SS, Duncan AW. Endoscopic removal of a com¬mon-bile-duct stone associated with a Ligaclip. Can J Surg 1992; 35: 3445.
[4] Arnaud JP, Bergamaschi R. Migration and slipping of met¬al clips after celioscopic cholecystectomy. Surg Laparosc Endosc 1993; 3: 487–9.
[5] Mansvelt B, Harb J, Farkas B, Mourou M, Huguet C. Clip-stone” filiation within the biliary tract. HPB Surg 1993; 6: 185–8.
[6] Walker WE, Avant GR, Reynolds VH. Cholangitis with a silverlining. Arch Surg1979; 114: 214-5.
[7] Onghena T, Vereecken L, Van den Dwey K, et al. Commonbile duct foreign body: An unusual case. Surg Laparosc Endosc 1992; 2: 8-10.
[8] Cetta F, Baldi C, Lombardo F, Monti L, Stefani P, Nuzzo G. Migration of metallic clips used during laparoscopic cholecystectomy and formation ofgallstones around them: surgical implications from a prospective study. JL aparoendosc Adv 1997; 7: 37–46.
[9] Kitamura K, Yamaguchi T, Nakatani H, Ichikawa D, Shimotsuma M, Yamane T, et al. Why do cystic duct clips migrate into the common bile duct? Lancet 1995; 346: 965–6.
[10] Brutvan FM, Kampschroer BH, Parker HW. Vessel clip as a nidus for formation of common bile duct stone. Gastroin¬test Endosc 1982; 28: 222–3.
[11] Chong VH, Chong CF. Biliary complications secondary to postcholecystectomy clip migration: a review of 69 cases. J Gastrointest Surg 2010; 14: 688–96.
[12] Rizzo J, Tripodi J, Gold B, Opper F. Surgical clips as a nidus for stone formation in the common bile duct. J Clin Gastroenterol 1995; 21: 169–71.
[13] Davis M, Hart B, Kleinman R. Obstructive jaundice from open vessel clip. Gastrointest Radiol 1988; 13: 259–60.
[14] Martinez J, Combs W, Brady PG. Surgical clips as a nidus for biliary stone formation: diagnosis and therapy. Am Gastroenterol 1995; 90: 1521–4.
Cite This Article
  • APA Style

    Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. (2017). Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. International Journal of Gastroenterology, 1(1), 9-11. https://doi.org/10.11648/j.ijg.20170101.16

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    ACS Style

    Waseem Raja; Sunil K. Mathai; Benoy Sebastian; Ashfaq Ahmad; Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int. J. Gastroenterol. 2017, 1(1), 9-11. doi: 10.11648/j.ijg.20170101.16

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    AMA Style

    Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int J Gastroenterol. 2017;1(1):9-11. doi: 10.11648/j.ijg.20170101.16

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  • @article{10.11648/j.ijg.20170101.16,
      author = {Waseem Raja and Sunil K. Mathai and Benoy Sebastian and Ashfaq Ahmad and Shiraz Salim Khan and Mary George},
      title = {Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone},
      journal = {International Journal of Gastroenterology},
      volume = {1},
      number = {1},
      pages = {9-11},
      doi = {10.11648/j.ijg.20170101.16},
      url = {https://doi.org/10.11648/j.ijg.20170101.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20170101.16},
      abstract = {Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.},
     year = {2017}
    }
    

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    T1  - Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone
    AU  - Waseem Raja
    AU  - Sunil K. Mathai
    AU  - Benoy Sebastian
    AU  - Ashfaq Ahmad
    AU  - Shiraz Salim Khan
    AU  - Mary George
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    N1  - https://doi.org/10.11648/j.ijg.20170101.16
    DO  - 10.11648/j.ijg.20170101.16
    T2  - International Journal of Gastroenterology
    JF  - International Journal of Gastroenterology
    JO  - International Journal of Gastroenterology
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    SN  - 2640-169X
    UR  - https://doi.org/10.11648/j.ijg.20170101.16
    AB  - Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.
    VL  - 1
    IS  - 1
    ER  - 

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Author Information
  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

  • Department of Gastroenterology, Medical Trust Hospital, Kochi, India

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