Metallic clip migration and primary common duct stone formation after subtotal cholecystectomy
Recommended Citation
Beadle MA, Erickson MD, Jaffan AA, Kappes SK. Metallic Clip Migration and Primary Common Duct Stone Formation After Subtotal Cholecystectomy. ACS Case Reviews in Surgery. 2023;4(2):16-19.
Presentation Notes
Presented at The Wisconsin Surgical Society, Virtual Annual Meeting, November 2020.
Abstract
Background: An 82-year-old male presented with choledocholithiasis ten years following laparoscopic conversion to open subtotal cholecystectomy.
Summary: A primary common duct stone formation with the nidus of a surgical clip, termed “cat’s eye calculi,” is reported ten years after subtotal cholecystectomy for severe cholecystitis. Stone and surgical clip retrieval was accomplished by percutaneous transhepatic technique because of a prior Roux-en-Y gastric bypass. A review of possible mechanisms of clip migration, percutaneous transhepatic cholangiogram technique, and treatment of stone/clips within the biliary system is discussed.
Conclusion: Postcholecystectomy clip migration is a rare cause of common duct stone formation. It should be considered in the differential diagnosis of post-cholecystectomy biliary obstruction.
Type
Case Report