Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone

Waseem Raja; Sunil K. Mathai; Benoy Sebastian; Ashfaq Ahmad; Shiraz Salim Khan; Mary George

doi:doi:10.11648/j.ijg.20170101.16

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Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone

Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, Mary George

Published in International Journal of Gastroenterology (Volume 1, Issue 1)

Received: 3 January 2017 Accepted: 17 May 2017 Published: 10 July 2017

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Abstract

Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.

Published in	International Journal of Gastroenterology (Volume 1, Issue 1)
DOI	10.11648/j.ijg.20170101.16
Page(s)	9-11
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Laproscopic Cholecystectomy, Surgical Clips, Complication, Clip Migrations, ERCP

References

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[2]	Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Cam¬pion JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic chole¬cystectomy treated by endoscopic biliary sphincterotomy. Gastrointest Endosc 1992; 38: 608–11.
[3]	Dhalla SS, Duncan AW. Endoscopic removal of a com¬mon-bile-duct stone associated with a Ligaclip. Can J Surg 1992; 35: 3445.
[4]	Arnaud JP, Bergamaschi R. Migration and slipping of met¬al clips after celioscopic cholecystectomy. Surg Laparosc Endosc 1993; 3: 487–9.
[5]	Mansvelt B, Harb J, Farkas B, Mourou M, Huguet C. Clip-stone” filiation within the biliary tract. HPB Surg 1993; 6: 185–8.
[6]	Walker WE, Avant GR, Reynolds VH. Cholangitis with a silverlining. Arch Surg1979; 114: 214-5.
[7]	Onghena T, Vereecken L, Van den Dwey K, et al. Commonbile duct foreign body: An unusual case. Surg Laparosc Endosc 1992; 2: 8-10.
[8]	Cetta F, Baldi C, Lombardo F, Monti L, Stefani P, Nuzzo G. Migration of metallic clips used during laparoscopic cholecystectomy and formation ofgallstones around them: surgical implications from a prospective study. JL aparoendosc Adv 1997; 7: 37–46.
[9]	Kitamura K, Yamaguchi T, Nakatani H, Ichikawa D, Shimotsuma M, Yamane T, et al. Why do cystic duct clips migrate into the common bile duct? Lancet 1995; 346: 965–6.
[10]	Brutvan FM, Kampschroer BH, Parker HW. Vessel clip as a nidus for formation of common bile duct stone. Gastroin¬test Endosc 1982; 28: 222–3.
[11]	Chong VH, Chong CF. Biliary complications secondary to postcholecystectomy clip migration: a review of 69 cases. J Gastrointest Surg 2010; 14: 688–96.
[12]	Rizzo J, Tripodi J, Gold B, Opper F. Surgical clips as a nidus for stone formation in the common bile duct. J Clin Gastroenterol 1995; 21: 169–71.
[13]	Davis M, Hart B, Kleinman R. Obstructive jaundice from open vessel clip. Gastrointest Radiol 1988; 13: 259–60.
[14]	Martinez J, Combs W, Brady PG. Surgical clips as a nidus for biliary stone formation: diagnosis and therapy. Am Gastroenterol 1995; 90: 1521–4.

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APA Style

Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. (2017). Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. International Journal of Gastroenterology, 1(1), 9-11. https://doi.org/10.11648/j.ijg.20170101.16

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ACS Style

Waseem Raja; Sunil K. Mathai; Benoy Sebastian; Ashfaq Ahmad; Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int. J. Gastroenterol. 2017, 1(1), 9-11. doi: 10.11648/j.ijg.20170101.16

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AMA Style

Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int J Gastroenterol. 2017;1(1):9-11. doi: 10.11648/j.ijg.20170101.16

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@article{10.11648/j.ijg.20170101.16,
  author = {Waseem Raja and Sunil K. Mathai and Benoy Sebastian and Ashfaq Ahmad and Shiraz Salim Khan and Mary George},
  title = {Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone},
  journal = {International Journal of Gastroenterology},
  volume = {1},
  number = {1},
  pages = {9-11},
  doi = {10.11648/j.ijg.20170101.16},
  url = {https://doi.org/10.11648/j.ijg.20170101.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20170101.16},
  abstract = {Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.},
 year = {2017}
}

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TY  - JOUR
T1  - Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone
AU  - Waseem Raja
AU  - Sunil K. Mathai
AU  - Benoy Sebastian
AU  - Ashfaq Ahmad
AU  - Shiraz Salim Khan
AU  - Mary George
Y1  - 2017/07/10
PY  - 2017
N1  - https://doi.org/10.11648/j.ijg.20170101.16
DO  - 10.11648/j.ijg.20170101.16
T2  - International Journal of Gastroenterology
JF  - International Journal of Gastroenterology
JO  - International Journal of Gastroenterology
SP  - 9
EP  - 11
PB  - Science Publishing Group
SN  - 2640-169X
UR  - https://doi.org/10.11648/j.ijg.20170101.16
AB  - Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.
VL  - 1
IS  - 1
ER  -

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Author Information

Waseem Raja

Department of Gastroenterology, Medical Trust Hospital, Kochi, India
Sunil K. Mathai

Department of Gastroenterology, Medical Trust Hospital, Kochi, India
Benoy Sebastian

Department of Gastroenterology, Medical Trust Hospital, Kochi, India
Ashfaq Ahmad

Department of Gastroenterology, Medical Trust Hospital, Kochi, India
Shiraz Salim Khan

Department of Gastroenterology, Medical Trust Hospital, Kochi, India
Mary George

Department of Gastroenterology, Medical Trust Hospital, Kochi, India

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Plain Text BibTeX RIS

APA Style

Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. (2017). Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. International Journal of Gastroenterology, 1(1), 9-11. https://doi.org/10.11648/j.ijg.20170101.16

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ACS Style

Waseem Raja; Sunil K. Mathai; Benoy Sebastian; Ashfaq Ahmad; Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int. J. Gastroenterol. 2017, 1(1), 9-11. doi: 10.11648/j.ijg.20170101.16

Copy | Download

AMA Style

Waseem Raja, Sunil K. Mathai, Benoy Sebastian, Ashfaq Ahmad, Shiraz Salim Khan, et al. Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone. Int J Gastroenterol. 2017;1(1):9-11. doi: 10.11648/j.ijg.20170101.16

Copy | Download

@article{10.11648/j.ijg.20170101.16,
  author = {Waseem Raja and Sunil K. Mathai and Benoy Sebastian and Ashfaq Ahmad and Shiraz Salim Khan and Mary George},
  title = {Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone},
  journal = {International Journal of Gastroenterology},
  volume = {1},
  number = {1},
  pages = {9-11},
  doi = {10.11648/j.ijg.20170101.16},
  url = {https://doi.org/10.11648/j.ijg.20170101.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20170101.16},
  abstract = {Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Surgical Clip Migration Following Laproscopic Cholecystectomy as a Cause of CBD Stone
AU  - Waseem Raja
AU  - Sunil K. Mathai
AU  - Benoy Sebastian
AU  - Ashfaq Ahmad
AU  - Shiraz Salim Khan
AU  - Mary George
Y1  - 2017/07/10
PY  - 2017
N1  - https://doi.org/10.11648/j.ijg.20170101.16
DO  - 10.11648/j.ijg.20170101.16
T2  - International Journal of Gastroenterology
JF  - International Journal of Gastroenterology
JO  - International Journal of Gastroenterology
SP  - 9
EP  - 11
PB  - Science Publishing Group
SN  - 2640-169X
UR  - https://doi.org/10.11648/j.ijg.20170101.16
AB  - Foreign bodies in the common bile duct (CBD) are either iatrogenic or accidental. Increasing number of biliary interventional procedures both surgical and endoscopic are responsible for iatrogenic foreign bodies in the CBD. Here we report an unusual case of 59 year old female who presented with upper abdominal pain, jaundice and altered LFT with significant past history of laproscopic cholecystectomy. Endoscopic ultrasound revealed a linear hyper-echoic lesion with acoustic shadowing in the distal CBD, suggestive of a stone with central hyperechoic nidus, which was later confirmed by ERCP and removed by Dormia basket. The stone was crushed and two surgical clips were isolated fron the stone.
VL  - 1
IS  - 1
ER  -

Copy | Download