Surgical clip as a nidus for a common bile duct stone: radiographic demonstration

Bradfield, H.; Granke, D.

doi:10.1007/s002619900192

Cited by 11 publications

(4 citation statements)

References 7 publications

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“…Advances in endoscopic surgery have led to an increased number of impacted foreign bodies in the CBD being reported in association with endoclips and Dormia baskets following laparoscopic cholecystectomy and endoscopic sphincterotomy. 7,8 Shrapnel and bullets are known to migrate, and from a b Fig. 1.…”

Section: Discussionmentioning

confidence: 99%

Impaction of a Shrapnel Splinter in the Common Bile Duct After Migrating from the Right Thoracic Cavity: Report of a Case

et al. 2002

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Biliary obstruction is rarely caused by a foreign body. This report describes the case of a 60-year-old Japanese man with jaundice caused by an impacted shrapnel splinter in the common bile duct (CBD) that had migrated from the right thoracic cavity 36 years after initial injury. Biochemical data showed a total bilirubin level of 4.2 mg/dl with a direct bilirubin level of 3.1mg/dl, an alanine aminotransferase level of 24IU/l, and an alkaline phosphatase level of 18.5KA units. It was serially documented that the shrapnel had migrated toward the diaphragm, then burrowed into the liver, settling in the CBD, and causing obstructive jaundice. Choledochotomy and T-tube drainage was performed and the postoperative course was uneventful. To our knowledge, this is the first case report of this type of occurrence in the Japanese literature. Although there are few reports of combat injury in Japan, this diagnosis should be considered in the evaluation of any patient with jaundice who has suffered a previous chest wound involving a foreign body.

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Section: Discussionmentioning

confidence: 99%

Impaction of a Shrapnel Splinter in the Common Bile Duct After Migrating from the Right Thoracic Cavity: Report of a Case

et al. 2002

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“…Typical symptoms including jaundice, abdominal pain, and choluria develop as a result of biliary obstruction; sepsis relating to ascending cholangitis or bile leakage may also occur [9,10]. The diagnosis of a "clip stone" may be suspected based on noninvasive imaging such as x-ray, ultrasound, or computed tomography [11]. Cholangiography is confirmatory.…”

Section: Discussionmentioning

confidence: 99%

Surgical Clip Migration and Choledocholithiasis: A Late, Abrupt Complication of Laparoscopic Cholecystectomy

Attwell

Hawes

2007

Dig Dis Sci

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“…The first case of successful endoscopic therapy of a metallic clip forming the nidus of a common duct stone was reported in 1982 8 ) . In more recent reports, metallic surgical clips migrated into the biliary tract and acted as a nidus for stone formation 8 – 10 ) . Biliary stasis and bacterial overgrowth resulting in bacterial degradation of bile were contributing factors in those cases 11 ) .…”

Section: Discussionmentioning

confidence: 99%

Biliary Metal Stent as a Nidus for Bile Duct Stone

Cheon¹,

Moon²,

Cho³

et al. 2002

Korean J Intern Med

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Several cases of recurrent stone formation caused by a surgical material as a nidus have been reported. Recently, we experienced one case in which a migrated metal stent might have been served as a nidus for common duct stone formation. The diagnosis was confirmed by ERCP, the stone was successfully removed with endoscopic therapy. Six years ago, she had undergone a lithotripsy using a percutaneous cholangioscopy (PTCS) because of intrahepatic cile duct stoes. Six years later, she developed abdominal pain in the right upper quadrant. ERCP revealed the dilated extrahepatic bile duct and left intrahepatic bile duct and the presence of a large elongated freely mobile filling defaet suggestive of common bile duct stone containing metal mesh in the distal common bile duct. The removed stone with endoscopic sphincterotomy was soft and dark brown in color with metal stent.

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Surgical clip as a nidus for a common bile duct stone: radiographic demonstration

Cited by 11 publications

References 7 publications

Impaction of a Shrapnel Splinter in the Common Bile Duct After Migrating from the Right Thoracic Cavity: Report of a Case

Impaction of a Shrapnel Splinter in the Common Bile Duct After Migrating from the Right Thoracic Cavity: Report of a Case

Surgical Clip Migration and Choledocholithiasis: A Late, Abrupt Complication of Laparoscopic Cholecystectomy

Biliary Metal Stent as a Nidus for Bile Duct Stone

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