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Updated: Jul 23, 2026
07:36
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
"Clip-stone" filiation within the biliary tract
1Department of Surgery, Princess Grace Hospital, Monaco.
Summary
A metal surgical clip migrated years after cholecystectomy, causing cholangitis. Using resorbable clips in laparoscopic cholecystectomy can prevent such complications.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
Background:
- Laparoscopic cholecystectomy is a common surgical procedure.
- Metal clips are frequently used for hemostasis during cholecystectomy.
Observation:
- A rare case of cholangitis developed 4 years post-cholecystectomy.
- The cause was identified as a migrated metal clip from the prior surgery.
Findings:
- The migrated metal clip caused biliary obstruction and inflammation, leading to cholangitis.
- Diagnostic imaging and endoscopic evaluation were crucial in identifying the clip's migration.
Implications:
- This case highlights a potential long-term complication of metal clips used in cholecystectomy.
- The use of resorbable clips is suggested to mitigate the risk of clip migration and subsequent biliary complications.
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