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Choledocholithiasis due to surgical clip migration after laparoscopic cholecystectomy: report of a case

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Author(s): Maciej Gonciarz | Piotr Małuch | Jerzy Eszyk

Journal: Polish Gastroenterology
ISSN 1232-9886

Volume: 17;
Issue: 5;
Start page: 381;
Date: 2010;
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Keywords: laparoscopic cholecystectomy | clip migration | choledochal stones

ABSTRACT
Surgical clip migration into the common bile duct is rare complication of laparoscopic cholecystectomy. There are only 69 well documented cases reported up to 2008 in the world literature. We report a case of 54-year-old woman who presented with colicky abdominal pain 10 years after the cholecystectomy. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a metal clip surrounded by a stone in the distal part of the common bile duct and superiorly the second stone in the moderately dilated bile duct. The patient was successfully treated with ERCP, the surgical clip and stones were removed. After 12 months of follow-up she was without any clinical or biochemical signs of hepato-biliary dysfunction. This is the first report of post-cholecystectomy clip migration originating from Poland. (Gastroenterol. Pol., 2010, Vol. 17, No. 5, p. 381-382)

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