Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy
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...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/504295 |
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| author | Natalie E. Cookson Reza Mirnezami Paul Ziprin |
| author_facet | Natalie E. Cookson Reza Mirnezami Paul Ziprin |
| author_sort | Natalie E. Cookson |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1ba0e98ba1154c5f87c8f903674d8fac |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-1ba0e98ba1154c5f87c8f903674d8fac2025-08-20T02:01:50ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362015-01-01201510.1155/2015/504295504295Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic CholecystectomyNatalie E. Cookson0Reza Mirnezami1Paul Ziprin2Academic Surgical Unit, St Mary’s Hospital, 8th Floor, QEQM Building, Praed Street, London W2 1NY, UKAcademic Surgical Unit, St Mary’s Hospital, 8th Floor, QEQM Building, Praed Street, London W2 1NY, UKAcademic Surgical Unit, St Mary’s Hospital, 8th Floor, QEQM Building, Praed Street, London W2 1NY, UKBackground. 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.http://dx.doi.org/10.1155/2015/504295 |
| spellingShingle | Natalie E. Cookson Reza Mirnezami Paul Ziprin Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy Case Reports in Gastrointestinal Medicine |
| title | Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy |
| title_full | Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy |
| title_fullStr | Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy |
| title_full_unstemmed | Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy |
| title_short | Acute Cholangitis following Intraductal Migration of Surgical Clips 10 Years after Laparoscopic Cholecystectomy |
| title_sort | acute cholangitis following intraductal migration of surgical clips 10 years after laparoscopic cholecystectomy |
| url | http://dx.doi.org/10.1155/2015/504295 |
| work_keys_str_mv | AT natalieecookson acutecholangitisfollowingintraductalmigrationofsurgicalclips10yearsafterlaparoscopiccholecystectomy AT rezamirnezami acutecholangitisfollowingintraductalmigrationofsurgicalclips10yearsafterlaparoscopiccholecystectomy AT paulziprin acutecholangitisfollowingintraductalmigrationofsurgicalclips10yearsafterlaparoscopiccholecystectomy |