Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy
Joint Authors
Cookson, Natalie E.
Mirnezami, Reza
Ziprin, P.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-22
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones.
Surgery-associated complications include bleeding, bile duct injury, and retained stones.
Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”.
Case Report.
We report a case of a 55-year-old female patient who presented with right upper quadrant pain and severe sepsis having undergone an uncomplicated laparoscopic cholecystectomy 10 years earlier.
Computed tomography (CT) imaging revealed hyperdense material in the common bile duct (CBD) compatible with retained calculus.
Endoscopic retrograde cholangiopancreatography (ERCP) revealed appearances in keeping with a migrated surgical clip within the CBD.
Balloon trawl successfully extracted this, alleviating the patient’s jaundice and sepsis.
Conclusion.
Intraductal clip migration is a rarely encountered complication after laparoscopic cholecystectomy which may lead to choledocholithiasis.
Appropriate management requires timely identification and ERCP.
American Psychological Association (APA)
Cookson, Natalie E.& Mirnezami, Reza& Ziprin, P.. 2015. Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy. Case Reports in Gastrointestinal Medicine،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058548
Modern Language Association (MLA)
Cookson, Natalie E.…[et al.]. Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy. Case Reports in Gastrointestinal Medicine No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1058548
American Medical Association (AMA)
Cookson, Natalie E.& Mirnezami, Reza& Ziprin, P.. Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy. Case Reports in Gastrointestinal Medicine. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1058548
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058548