CHOLEDOCHOLITHIASIS DUE TO A MIGRATED METAL CLIP AFTER LAPAROSCOPIC CHOLECYSTECTOMY-REPORT OF A CASE-

Abstract

We experienced a case of choledocholithiasis in which a metal clip used for closure of surgical stumps of the cystic duct at a laparoscopic cholecyst-ectomy had migrated into the common bile duct to from choledocholith.
A 60-year-old man, who had undergone a laparoscopic cholecystectomy for cystic stones elsewhere 3 years before, visited another hospital because of jaundice. The patient was referred to the hospital with a diagnosis of obstructive jaundice. After admission to the hospital, cancer of the common bile duct was diagnosed and the patient was operated on. The resected material disclosed no pathological malignancy, but there was a clip in the lumen of common bile duct and choledocholith was confirmed at the same site. As one of latent complications after laparoscopic cholecystectomy, formation of choledocholith due to migrated clip must be kept in mind. The necessity of long-term follow-up for postoperative patients is suggested.