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Updated: Sep 24, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
[Acute cholangitis due to metal clips in the ductus choledochus after laparoscopic cholecystectomy]
Christian Snitkjær1, Anders Peter Skovsen1, Peter Svenningsen1
1Kirurgisk Afdeling, Københavns Universitetshospital - Nordsjællands Hospital Hillerød.
Abstract:
Acute cholangitis caused by migrating clips is a possible complication following laparoscopic cholecystectomy. In this case report, a 50-year-old woman was admitted to the hospital with fever, icterus, and epigastric pain. Blood samples and blood cultures showed cholestasis, signs of infection and three different types of bacteria in the blood stream. Magnetic resonance cholangiopancreatography showed a migrating clip in the common bile duct and was extracted using endoscopic retrograde cholangiopancreatography. Migrating clip following laparoscopic cholecystectomy is a cause of cholangitis and should be considered in patients presenting with relevant symptoms.
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