Migrated Endoclip and Stone Formation after Cholecystectomy: A Case Treated by Endoscopic Sphincterotomy

Takahiro Goshi; Seisuke Okamura; Hisashi Takeuchi; Tetsuo Kimura; Shinji Kitamura; Katsuyosi Tamaki; Koichi Okamoto; Masako Kaji; Naoki Muguruma; Toshiya Okahisa; Joji Shunto; Testuji Takayama

doi:10.2169/internalmedicine.48.2634

CASE REPORTS

Migrated Endoclip and Stone Formation after Cholecystectomy: A Case Treated by Endoscopic Sphincterotomy

Takahiro Goshi, Seisuke Okamura, Hisashi Takeuchi, Tetsuo Kimura, Shinji Kitamura, Katsuyosi Tamaki, Koichi Okamoto, Masako Kaji, Naoki Muguruma, Toshiya Okahisa, Joji Shunto, Testuji Takayama

Author information

Takahiro Goshi
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Seisuke Okamura
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Hisashi Takeuchi
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Tetsuo Kimura
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Shinji Kitamura
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Katsuyosi Tamaki
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Koichi Okamoto
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Masako Kaji
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Naoki Muguruma
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Toshiya Okahisa
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School
Joji Shunto
Shunto Gastrointestinal Clinic
Testuji Takayama
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School

Keywords: endoclip migration, laparoscopic cholecystectomy, endoscopic sphincterotomy

JOURNAL OPEN ACCESS

2009 Volume 48 Issue 23 Pages 2015-2017

DOI https://doi.org/10.2169/internalmedicine.48.2634

Details

Abstract

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.

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