Endoscopy 2005; 37(2): 188
DOI: 10.1055/s-2004-826191
Images in Focus
© Georg Thieme Verlag KG Stuttgart · New York

Endoclips as Nidus for Choledocholithiasis Presenting 5 Years After Laproscopic Cholecystectomy

S.  Khanna1 , J.  C.  Vij1
  • 1Department of Gastroenterology, Pushpawati Singhania Research Institute for Liver, Renal and Digestive Diseases, New Delhi, India
Further Information

Publication History

Publication Date:
19 May 2006 (online)

Figure 1 a, b A middle-aged lady presented to our unit with progressively worsening jaundice of 5 days’ duration. There had been no preceding prodrome. Based on the clinical features and liver function tests she was diagnosed as having surgical obstructive jaundice. Ultrasound showed dilated intrahepatic biliary radicals and a common bile duct (CBD) dilated as far as the lower end. The patient had undergone laparoscopic cholecystectomy for gallstone disease 5 years previously. On endoscopic retrograde cholangiography it was found that she had a stone, for which surgical clips had served as a nidus, at the lower end of the CBD. The stone was removed endoscopically and the patient improved. The migration of surgical clips as a complication of laparoscopic cholecystectomy is a rare but increasingly diagnosed complication.

Endoscopy_UCTN_Code_CCL_1AZ_2AD

S. Khanna, MD

Pushpawati Singhania Research Institute for Liver, Renal and Digestive Diseases, Shiekh Sarai-Phase II

New Delhi 110019
India

Fax: + 91-11-29250548

Email: khannasudeep@hotmail.com