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Choledocholithiasis caused by migration of a surgical clip into the biliary tract following laparoscopic cholecystectomy

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Abstract

As experience with laparoscopic cholecystectomy (LC) has increased, so have the number and variety of complications. We report a case of choledocholithiasis caused by migration of a surgical clip applied during LC. A 57-year-old Japanese man who had undergone LC 6 years previously was referred to our hospital with pruritus and jaundice. Magnetic resonance cholangiopancreatography and ultrasonography revealed a solid mass in the common hepatic duct and dilatation of the intrahepatic bile ducts. Abdominal arteriography demonstrated interruption of the right hepatic artery by surgical clips. Five days after a biopsy of the mass was performed through a percutaneous transhepatic biliary drainage tube, the mass moved to the terminus of the common bile duct along with one of the surgical clips. A basket catheter was used to remove the mass via endoscopy. Despite the fact that other clips in the common hepatic duct were partially exposed, the patient has been well for 2 years with no additional interventions.

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Authors and Affiliations

  1. Hepato-Biliary-Pancreatic and Gastroenterological Surgery, Osaka City University, Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan

    S. Hai, H. Tanaka, S. Kubo, S. Takemura, A. Kanazawa, S. Tanaka & K. Hirohashi

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  1. S. Hai
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  2. H. Tanaka
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  3. S. Kubo
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  4. S. Takemura
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  5. A. Kanazawa
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  6. S. Tanaka
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  7. K. Hirohashi
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Correspondence to S. Hai.

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Hai, S., Tanaka, H., Kubo, S. et al. Choledocholithiasis caused by migration of a surgical clip into the biliary tract following laparoscopic cholecystectomy . Surg Endosc 17, 2028–2031 (2003). https://doi.org/10.1007/s00464-003-4517-1

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  • DOI: https://doi.org/10.1007/s00464-003-4517-1

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