Obstructive jaundice due to a textiloma mimicking a common bile duct stone

Abstract

A foreign body is a rare cause of obstructive jaundice. We report a 19-year-old woman with jaundice caused by a surgical gauze in the common bile duct (CBD). Four yours earlier, she had undergone a cholecystectomy and drainage for hydatid disease of the liver. Her postoperative course was complicated by a biliary fistula that healed after 50 days. She now presented with obstructive jaundice of 2 weeks' duration. Magnetic resonance cholangiopancreatography (MRCP) showed a signal-void mass, consistent with a CBD stone. Surgical exploration of the CBD revealed a surgical gauze as the cause of the obstruction. To the best of our knowledge, this is the first case of a surgical gauze obstructing the CBD requiring surgical removal.

Obstructive Jaundice Due To Migration of Suture Material Into Common Bile Duct: A Very Rare Presentation

“…Cimsit et all reported a case in which surgical gauze was removed by CBD exploration [7]. Ours is probably the first case of obstructive jaundice due to suture knot in CBD after open cholecystectomy.…”

Granuloma a cuerpo extraño, simulando una enfermedad maligna del tracto biliar

“…A pesar de que esta afección es extremadamente rara en la bibliografía, la dificultad para su diagnóstico preoperatorio y la posible confusión con tumores malignos [10][11][12] , que lleven incluso a realizar cirugías radicales innecesarias, hacen necesaria la difusión al abandono del material no absorbible tipo seda en la cirugía biliar para evitar esta inusual, pero posible, complicación poscolecistectomía.…”

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

“…Foreign bodies in the biliary tract like sutures,1 fish bone,2 tomato skin,3 surgical gauze,1,4,5 and chicken bone6 represent an uncommon clinical entity and are rare cause of biliary obstruction 1,4. However with recent advancements in endoscopic and laparoscopic surgery an increasing number of impacted foreign bodies like endoclips have been reported 1.…”

“…However with recent advancements in endoscopic and laparoscopic surgery an increasing number of impacted foreign bodies like endoclips have been reported 1. The previous reported cases with impacted surgical gauze in CBD had classical presentation of obstructive jaundice 1,4,5. We report a unique case of 45-year-old female who presented with abdominal pain and itching caused by surgical gauze impacted in the biliary tree without any clinical evidence of jaundice and cholangitis.…”