CBD Stone Formation Over Migrated Surgical Clip: A Rare Complication Developed Fourteen Years after Laparoscopic Cholecystectomy

Abstract

Laparoscopic cholecystectomy (LC) is currently the treatment of choice for symptomatic gallstones. Migration of surgical clips into common bile duct (CBD) is a rare complication after LC. Migrated surgical clips may lead to further complications like cholangitis, choledocholithiasis. We report a rare case of CBD stone formed over migrated surgical clips, 14 years after LC. A 41-year-old male with history of LC 14 years back, presented with repeated episodes of biliary colic. Computed tomography (CT) scan abdomen showed CBD stones with metallic foreign bodies and prominent CBD. Patient was managed successfully with endoscopic retrograde cholangiopancreatography. Patient became asymptomatic thereafter. This case is a rare complication developed after a very commonly performed surgery.

Keywords

• common bile duct stone
• endoscopic retrograde cholangiopancreatography
• laparoscopic cholecystectomy
• surgical clip migration