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Related Experiment Video

Updated: Jun 17, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

Shrapnel splinter in the common bile duct.

Mohammad Hossein Somi¹, Parisa Rezaeifar

¹Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Science, University Ave., 5166614756 Tabriz, Iran. mhosseinsina@yahoo.com

Archives of Iranian Medicine

|December 31, 2009

Summary

This summary is machine-generated.

A rare case of obstructive jaundice caused by a retained shrapnel splinter in the common bile duct (CBD) is presented. This highlights the importance of considering combat injuries in patients with unexplained jaundice.

Related Experiment Videos

Last Updated: Jun 17, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

Area of Science:

Gastroenterology and Hepatology
Trauma Surgery

Background:

Obstructive jaundice is typically caused by gallstones or tumors.
Foreign bodies are an uncommon cause of common bile duct (CBD) obstruction.

Observation:

A 42-year-old male presented with obstructive jaundice and abdominal pain.
Imaging revealed an impacted shrapnel splinter within the CBD.
The patient had a history of combat injury 23 years prior.

Findings:

The shrapnel splinter was identified as the cause of CBD obstruction.
Surgical or endoscopic removal of the foreign body is indicated.
This case represents a unique long-term complication of combat-related shrapnel injury.

Implications:

Clinicians should consider retained foreign bodies, especially shrapnel, in the differential diagnosis of obstructive jaundice in patients with a history of combat injury.
Delayed presentation of complications from combat injuries is possible.
This case adds to the literature on unusual causes of biliary obstruction.