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Choledochal stenosis and lithiasis caused by penetration and migration of surgical metal clips
Author(s) -
Matsumoto Hideo,
Ikeda Eiji,
Mitsunaga Shuichi,
Naitoh Minoru,
Furutani Shiro,
Nawa Sugato
Publication year - 2000
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s005340070011
Subject(s) - clips , medicine , stenosis , anastomosis , laparoscopic cholecystectomy , surgery , cholecystectomy , common bile duct , bile duct , duct (anatomy) , choledochal cysts , jaundice , abdominal pain , radiology , cyst
A 71‐year‐old woman, who had undergone laparoscopic cholecystectomy 1 year previously at our hospital, presented with abdominal pain, high fever, and jaundice. She was diagnosed with choledochal stenosis caused by migration of the clips that were used at the previous operation. At reoperation, the common bile duct was successfully dissected, including the stenotic site, where a metal clip was found to be penetrating the duct wall. The stenotic site was sufficiently resected, when a black‐brown gallstone was found proximally to the stenosis. Interestingly, the stone was found to contain two metal clips, which were considered to have migrated into the bile duct and to have acted as a nidus for stone formation. The common bile duct was reconstructed by direct end‐to‐end anastomosis. Surgeons must exercise caution in the use of metal clips, keeping in mind the potential risk of clip migration.