Endoclip migration in to the common bile duct accompanied with stone formation 16 years after laparoscopic cholecystectomy

Abstract

We report a case of a 65-year-old man who underwent laparoscopic cholecystectomy for chronic cholecystitis and cholelithiasis 16 years before admission. The patient was presented to our department because of recurrent abdominal pain. CT scan revealed a metallic density artefact in the lower bile duct. Clip migration into common bile duct was confirmedby ERC, and the clip migration was accompanied with stone formation. The patient was successfully managed by endoscopic stone and clip removal.

Laparoscopic cholecystectomy is a gold standard surgery for cholecystolithiasis, however, endoclip migration and stone formation have been reported in late postoperative years. We report a case of clip migration into the bile duct accompanied with stone formation16 years after laparoscopic cholecystectomy.