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Failure of endoscopic removal of common bile duct stones due to endo‐clip migration following laparoscopic cholecystectomy
Author(s) -
Tsumura Hiroaki,
Ichikawa Toru,
Kagawa Tetsuya,
Nishihara Masahiro,
Yoshikawa Kazunori,
Yamamoto Gosoh
Publication year - 2002
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/s005340200032
Subject(s) - medicine , clips , cholecystectomy , surgery , cholangiography , common bile duct , vomiting , abdominal pain , laparoscopic cholecystectomy , complication , jaundice , biliary tract , abdomen , endoscopic retrograde cholangiopancreatography , bile duct , pancreatitis
We report herein an extremely rare complication; namely, endo‐clip migration into the common bile duct, following laparoscopic cholecystectomy, that occurred in a 57‐year‐old man. He underwent laparoscopic cholecystectomy, but postoperative bile leakage occurred from the cystic duct stump and he was treated by conservative drainage for 1 month. Five years later, he complained of vomiting and pain in the right hypochondrium, and he was admitted for investigations of jaundice and liver dysfunction. Computerized tomography scanning of the abdomen and endoscopic retrograde cholangiography revealed that several calculi, with six endo‐clips as nuclei, had migrated into the biliary tract. Endoscopic removal of the calculi following endoscopic sphincterotomy, using a basket catheter, was unsuccessful, and it was therefore necessary to remove the basket catheter surgically. The mechanism of endo‐clip migration and the method for removing the endo‐clips are briefly discussed.