Goshi Takahiro, Okamura Seisuke, Takeuchi Hisashi, Kimura Tetsuo, Kitamura Shinji, Tamaki Katsuyosi, Okamoto Koichi, Kaji Masako, Muguruma Naoki, Okahisa Toshiya, Shunto Joji, Takayama Testuji
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima.
Intern Med. 2009;48(23):2015-7. doi: 10.2169/internalmedicine.48.2634. Epub 2009 Dec 1.
Endoclip migration into the common bile duct following laparoscopic cholecystectomy (LC) is an extremely rare complication. Migrated endoclip into the common bile duct can cause obstruction, serve as a nidus for stone formation, and cause cholangitis. We report a case of cholangitis due to a migrated endoclip and consequent choledocholithiasis 6 years after LC, which was successfully treated by endoscopic extraction.
腹腔镜胆囊切除术(LC)后夹闭器迁移至胆总管是一种极其罕见的并发症。迁移至胆总管的夹闭器可导致梗阻,成为结石形成的病灶,并引起胆管炎。我们报告一例LC术后6年因夹闭器迁移及随之发生的胆总管结石导致胆管炎的病例,该病例经内镜取出术成功治疗。