Abstract
We experienced a case of surgical clip within a common bile duct stone after laparoscopic cholecystectomy (LC). The patient was an 81 year-old-woman with cholecystolithiasis, who underwent the LC in another hospital in 1995. The operation was converted to an open cholecys tectomy to stop bleeding In June 1998 the patient suffered high fever and vomiting. Computed tomography demonstrated one stone within surgical clip in the common bile duct. Surgery was performed in June 29,1998. The stone was a pigmented gallstone with a nidus comprised of metal clip used in the LC. We performed choledocholithotomy and T-tube drainage and the patient had an uneventful recovery. Surgical clips have previously been reported to form choledochal stone. In this case the clip were located at the end of the cystic duct near the juncture with the common bile duct. Surgeons must, exercise caution in the use of surgical clip and electric cauterization to avoid damage to common bile duct, which can result in local inflammation around the common bile duct.
