A case of common bile duct obstruction caused by migration of surgical metal clips |
Young Woo Kwon, Byung Won Hur, Woong Sik Oh, Jung Hwan Lee, Hae Kyung Kim, Sung Woo Park, Seong Tae Ryu |
Department of Medicine, Sungkyunkwan University School of Medicine |
증례 : 외과적 클립의 이동으로 초래된 총담관 폐색 1예 |
권영우허병원오웅식이정환김해경박성우류성태, Byung Won Hur, Woong Sik Oh, Jung Hwan Lee, Hae Kyung Kim, Sung Woo Park, Seong Tae Ryu |
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Abstract |
The laparoscopic cholecystectomy, which was originally developed in Europe, is now gaining wide acceptance due to a less painful surgery, a shortened hospital stay and less scarring. But the laparoscopic cholecystectomy were reported serious complications such as, gallbladder bed hemorrhage, bile duct injury, jejunal perforation and rarely dislocation and migration of the surgical clips. We report a 61-year-old man with obstructive jaundice that was generated surgical clips migration into the common bile duct, who had undergone a laparoscopic cholecystectomy because of acute calculous cholecystitis 7 months ago. Abdominal CT scan revealed multiple clips into the distal CBD and mild dilatation of intrahepatic biliary tree. The clips were removed using basket after endoscopic sphincterotomy.(Korean J Med 69:S772-S776, 2005) |
Key Words:
Surgical clips, Migration, Obstructive jaundice |
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