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Obstructive jaundice from open vessel clip.

M Davis¹, B Hart, R Kleinman

¹Department of Radiology, University of New Mexico Hospital, Albuquerque 87131.

Gastrointestinal Radiology

|July 1, 1988

Summary

This summary is machine-generated.

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A surgical clip migrated to the bile duct, causing obstructive jaundice and stone formation. This rare complication, forming a gallstone around a retained vessel clip, has not been previously documented.

Area of Science:

Gastroenterology
Surgical Complications
Biliary System Pathologies

Background:

Cholecystectomy is a common surgical procedure.
Complications can arise from retained surgical materials.
Biliary stone formation is a known clinical issue.

Observation:

A 49-year-old male presented with obstructive jaundice three years post-cholecystectomy.
Surgical exploration revealed a large common bile duct stone.
The stone was found to have formed around an open surgical vessel clip.

Findings:

The case details the first reported instance of a migrated, open vessel clip causing biliary stone formation.
Pathologic examination confirmed the stone's origin around the retained clip.

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This highlights a unique pathway for iatrogenic biliary calculus development.

Implications:

This case underscores the importance of meticulous surgical technique and instrument security during cholecystectomy.
It suggests a potential, albeit rare, long-term complication of retained surgical clips in the biliary system.
Further vigilance is warranted for delayed presentations of biliary obstruction potentially linked to prior surgical interventions.