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A Bile Duct Stone Formation around a Fish Bone as a Nidus after Pancreatoduodenectomy
Tomoki Sakakida1, Hideki Sato1, Toshifumi Doi1
1Gastroenterology Division, Japanese Red Cross Society Kyoto Daiichi Hospital, Kyoto, Japan.
Abstract:
We report a rare case of bile duct stone formation around an ingested fish bone as a nidus after pancreatoduodenectomy. A 78-year-old woman was admitted to our department for fever and epigastric pain. Abdominal computed tomography revealed an elongated bile duct stone containing a linearly shaped foreign body of bone density. Enteroscopic lithotomy was performed using single balloon enteroscopy to safely remove the stone and foreign body from the bile duct. The foreign body was determined to be a fish bone by pathological examination and component analysis.
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