Choledochal 'clipoliths' after cholecystectomy

Residual or recurrent stones in the common bile duct can pose a difficult diagnostic problem in the symptomatic postcholecystectomy patient. Although incrustation of unabsorbed suture material is the most important cause of stone recurrence in the common bile duct after surgery, hemostatic clips may...

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Veröffentlicht in:	Southern medical journal (Birmingham, Ala.) Ala.), 1996-11, Vol.89 (11), p.1111-1113
Hauptverfasser:	Brogdon, B G, Neuffer, F H, Siner, J R
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Cholangiopancreatography, Endoscopic Retrograde Cholecystectomy - adverse effects Female Foreign-Body Migration - complications Gallstones - diagnostic imaging Gallstones - etiology Gallstones - surgery Hemostasis, Surgical - instrumentation Humans Recurrence Sphincterotomy, Endoscopic Surgical Stapling - adverse effects
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container_title	Southern medical journal (Birmingham, Ala.)
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creator	Brogdon, B G Neuffer, F H Siner, J R
description	Residual or recurrent stones in the common bile duct can pose a difficult diagnostic problem in the symptomatic postcholecystectomy patient. Although incrustation of unabsorbed suture material is the most important cause of stone recurrence in the common bile duct after surgery, hemostatic clips may also (though rarely) provide a nucleus for stone formation. We present two cases in which this occurred. Careful attention to the position and orientation of surgical clips on serial postoperative film studies can be most helpful in diagnosing this rare condition.
doi_str_mv	10.1097/00007611-199611000-00020
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Although incrustation of unabsorbed suture material is the most important cause of stone recurrence in the common bile duct after surgery, hemostatic clips may also (though rarely) provide a nucleus for stone formation. We present two cases in which this occurred. 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Although incrustation of unabsorbed suture material is the most important cause of stone recurrence in the common bile duct after surgery, hemostatic clips may also (though rarely) provide a nucleus for stone formation. We present two cases in which this occurred. Careful attention to the position and orientation of surgical clips on serial postoperative film studies can be most helpful in diagnosing this rare condition.</abstract><cop>United States</cop><pmid>8903301</pmid><doi>10.1097/00007611-199611000-00020</doi><tpages>3</tpages></addata></record>
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language	eng
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source	MEDLINE; Journals@Ovid Ovid Autoload
subjects	Aged Cholangiopancreatography, Endoscopic Retrograde Cholecystectomy - adverse effects Female Foreign-Body Migration - complications Gallstones - diagnostic imaging Gallstones - etiology Gallstones - surgery Hemostasis, Surgical - instrumentation Humans Recurrence Sphincterotomy, Endoscopic Surgical Stapling - adverse effects
title	Choledochal 'clipoliths' after cholecystectomy
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