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©2007 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 21, 2007; 13(47): 6446-6448
Published online Dec 21, 2007. doi: 10.3748/wjg.v13.i47.6446
Published online Dec 21, 2007. doi: 10.3748/wjg.v13.i47.6446
Migrated endoclip and stone formation after cholecystectomy: A new danger of acute pancreatitis
Kemal Dolay, Halil Alis, Aliye Soylu, Gulum Altaca, Ersan Aygun, Department of General Surgery1 and Gastroenterology 2, Endoscopy Unit, Bakırkoy Research and Training Hospital, Bakirkoy, Istanbul, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Kemal Dolay, MD, Bakırköy Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği Endoskopi Ünitesi Istanbul, Turkey. dolayk@yahoo.com
Telephone: +90-212-6011909 Fax: +90-212-5713278
Received: August 5, 2007
Revised: September 28, 2007
Accepted: November 16, 2007
Published online: December 21, 2007
Revised: September 28, 2007
Accepted: November 16, 2007
Published online: December 21, 2007
Abstract
Endoclip migration into the common bile duct following laparoscopic cholecystectomy (LC) is an extremely rare complication. Migrated endoclip into the common bile duct can cause obstruction, serve as a nidus for stone formation, and cause cholangitis. We report a case of obstructive jaundice and acute biliary pancreatitis due to choledocholithiasis caused by a migrated endoclip 6 mo after LC. The patient underwent early endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy and stone extraction.
Keywords: Laparoscopic cholecystectomy, Endoclip migration, Biliary pancreatitis, Endoscopic retrograde cholangiopancreatography