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Cholangitis with a silver lining.

W E Walker, G R Avant, V H Reynolds

    Archives of Surgery (Chicago, Ill. : 1960)
    |February 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    A migrated silver hemostatic clip from a previous gallbladder surgery caused a bile duct stone, leading to acute obstructive cholangitis. This highlights a potential risk of using surgical clips in the porta hepatis area.

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    Area of Science:

    • Gastroenterology and Hepatobiliary Surgery
    • Surgical Complications
    • Medical Device Safety

    Background:

    • Cholecystectomy is a common surgical procedure.
    • Surgical materials like hemostatic clips are frequently used.
    • Complications can arise from retained surgical items or their migration.

    Observation:

    • A patient developed acute obstructive cholangitis.
    • The condition was secondary to a common bile duct stone.
    • The stone had formed around a silver hemostatic clip.

    Findings:

    • The silver clip had migrated from a long cystic duct remnant.
    • The clip was introduced during a cholecystectomy performed two years prior.
    • This suggests silver clips in the porta hepatis may pose a risk for stone formation.

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    Implications:

    • Silver clips in the porta hepatis area may be a potential hazard for forming bile duct stones.
    • This case underscores the importance of careful surgical technique and awareness of potential long-term complications from retained surgical materials.
    • Further vigilance regarding the placement and potential migration of hemostatic clips is warranted in biliary surgery.