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

被引：7

作者：

Hai, S ^{[1
]}

Tanaka, H ^{[1
]}

Kubo, S ^{[1
]}

Takemura, S ^{[1
]}

Kanazawa, A ^{[1
]}

Tanaka, S ^{[1
]}

Hirohashi, K ^{[1
]}

机构：

[1] Osaka City Univ, Grad Sch Med, Abeno Ku, Osaka 5458585, Japan

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2003年 / 17卷 / 12期

关键词：

laparoscopic cholecystectomy; choledocholithiasis; surgical clip;

D O I：

10.1007/s00464-003-4517-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：2028 / 2031

页数：10

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