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Tanimu S, Coombs RA, Tanimu Y, Onitilo AA. Cholecystectomy clip-induced biliary stone: Case report and literature review. J Minim Access Surg 2024:01413045-990000000-00042. [PMID: 38340083 DOI: 10.4103/jmas.jmas_323_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/04/2024] [Indexed: 02/12/2024] Open
Abstract
ABSTRACT Migration of cholecystectomy surgical clip into the common bile duct with subsequent stone formation is a rare phenomenon, one which may lead to complications including obstruction, pain, nausea, vomiting and fever. The mechanism of migration is largely unknown but may result from a combination of factors including necrosis, intra-abdominal pressure or poor surgical technique with migrated clip serving as a nidus for stone formation. We present a 55-year-old woman with clip-induced stone impacted at the distal common bile duct 12 years post-cholecystectomy and a review of the literature related to cholecystectomy clip stone formation. In addition, we reviewed relevant English language case reports and literature reviews by searching PubMed using search terms 'stone', 'clip', 'cholecystectomy' and 'biliary'. There was no limit to the date of publication. Our study found 68 unduplicated cases of clip-induced stones which had a wide range of onset and presenting systems. Further research is needed to identify risk factors, methods of prevention and benefits of early detection screening.
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Affiliation(s)
- Sabo Tanimu
- Department of Gastroenterology, Marshfield Clinic Health System, Weston, WI, USA
| | - Reilly A Coombs
- Medical School, Medical College of Wisconsin-Central Wisconsin, Wausau, WI, USA
| | - Yusuf Tanimu
- Department of Internal Medicine, Marshfield Clinic Health System, Marshfield, WI, USA
| | - Adedayo A Onitilo
- Department of Oncology/Hematology, Marshfield Clinic Health System, Weston, WI, USA
- Cancer Care and Research Center, Marshfield Clinic Research Institute, Marshfield, WI, USA
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2
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Elsayed M, Nezami N, Kokabi N, Scriver GM, Behairy MM, Majdalany BS. Percutaneous transhepatic cholangioscopy-guided lithotripsy and retrieval of vascular coils eroded into the biliary tree. Radiol Case Rep 2022; 18:444-448. [PMID: 36439934 PMCID: PMC9691415 DOI: 10.1016/j.radcr.2022.10.103] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Accepted: 10/30/2022] [Indexed: 11/25/2022] Open
Abstract
Endovascular coil erosion into the biliary system after hepatic artery embolization is a rare complication which may result in inflammation, strictures, choledocholithiasis, biliary colic, and cholangitis. Removal of coils may result in cessation of these symptoms, but is challenging in patients who cannot undergo removal via standard endoscopic approaches. This case report describes the retrieval of coils placed across a hepatic artery pseudoaneurysm, which over several years eroded into the biliary tree, resulting in calculi formation and post-prandial pain. Using combined fluoroscopy and cholangioscopy via percutaneous transhepatic accesses, the calculi were fragmented and the coils were retrieved, resulting in cessation of symptoms.
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Affiliation(s)
- Mohammad Elsayed
- Interventional Radiology Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Nariman Nezami
- Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, Baltimore, MD, USA
| | - Nima Kokabi
- Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Geoffrey M. Scriver
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA
| | - Moataz M. Behairy
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA
| | - Bill S. Majdalany
- Division of Interventional Radiology, Department of Radiology, University of Vermont Medical Center, 111 Colchester Ave, Patrick 124, Burlington, VT, 05401, USA,Corresponding author.
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3
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Chen C, Peng Y, Yang S, Tung C. Migration of bird feather into bile duct mimicking bile duct stone recurrence: first ever case report. ADVANCES IN DIGESTIVE MEDICINE 2022. [DOI: 10.1002/aid2.13314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Chia‐Chang Chen
- Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital Taichung Taiwan
| | - Yen‐Chung Peng
- Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital Taichung Taiwan
| | - Sheng‐Shun Yang
- Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital Taichung Taiwan
- School of Medicine, National Yang‐Ming University Taipei Taiwan
| | - Chun‐Fang Tung
- Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital Taichung Taiwan
- School of Medicine, National Yang‐Ming University Taipei Taiwan
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4
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Lampropoulos C, Markopoulos G, Tsochatzis S, Bellou A, Amanatidis T, Kehagias D, Papadopoulos G, Kehagias I. Symptomatic pseudoaneurysms following laparoscopic cholecystectomy: Focus on an unusual and dangerous complication. J Minim Access Surg 2021; 17:450-457. [PMID: 34558424 PMCID: PMC8486062 DOI: 10.4103/jmas.jmas_164_20] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 09/03/2020] [Accepted: 09/20/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Laparoscopic cholecystectomy (LC) has been associated with an increase in the incidence of biliary and vascular injuries. Pseudoaneurysms (PAs) following LC are rare life-threatening events with limited available experience regarding diagnosis and treatment. MATERIALS AND METHODS An extensive review of literature during a 26-year period (1994-2020) using MEDLINE® database and Google Scholar® academic search engine revealed 134 patients with at least one symptomatic PA following LC. RESULTS Nearly. 81% of patients with PAs become symptomatic during the first 8 weeks following LC. The most common symptoms were gastrointestinal bleeding (74%) and abdominal pain (61%). In 28% of cases, there was a concomitant bile duct injury or leak from the cystic duct stump, whereas in about one-third of cases, PAs presented following an uneventful LC. The most common involved arteries were the right hepatic artery (70%), the cystic artery (19%) or both of them (3%). Trans-arterial embolisation was the favoured first-line treatment with a success rate of 83%. During a median follow-up of 9 months, the mortality rate was 7%. CONCLUSION Clinicians should be aware of the PA occurrence following LC. Prompt diagnosis and treatment are essential.
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Affiliation(s)
| | | | | | - Aggeliki Bellou
- Department of Pulmonary Medicine, General University Hospital of Patras, Patras, Greece
| | | | - Dimitrios Kehagias
- Department of Surgery, General University Hospital of Patras, Patras, Greece
| | | | - Ioannis Kehagias
- Department of Surgery, General University Hospital of Patras, Patras, Greece
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5
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Tan Z, Wan R, Qian H, Xie P. Migration of Hem-o-lok clip into the common hepatic duct after laparoscopic bile duct exploration: A case report. Clin Case Rep 2021; 9:e04834. [PMID: 34584709 PMCID: PMC8455851 DOI: 10.1002/ccr3.4834] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 08/24/2021] [Accepted: 08/30/2021] [Indexed: 01/07/2023] Open
Abstract
Hem-o-lok clip migration into the bile duct can lead to stone formation and granulation tissue hyperplasia. This report discusses a case wherein four clips migrated into the bile duct after laparoscopic bile duct exploration.
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Affiliation(s)
- Zhenhua Tan
- Department of Hepatobiliary SurgeryHuzhou Central HospitalZhejiang University Huzhou HospitalAffiliated Central Hospital of Huzhou Teachers CollegeHuzhouChina
| | - Renrui Wan
- Department of Hepatobiliary SurgeryHuzhou Central HospitalZhejiang University Huzhou HospitalAffiliated Central Hospital of Huzhou Teachers CollegeHuzhouChina
| | - Hai Qian
- Department of Hepatobiliary SurgeryHuzhou Central HospitalZhejiang University Huzhou HospitalAffiliated Central Hospital of Huzhou Teachers CollegeHuzhouChina
| | - Ping Xie
- Department of Hepatobiliary SurgeryHuzhou Central HospitalZhejiang University Huzhou HospitalAffiliated Central Hospital of Huzhou Teachers CollegeHuzhouChina
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6
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Kannan A, Tara A, Quadir H, Hakobyan K, Gaddam M, Ojinnaka U, Ahmed Z, Dominic JL, Kantamaneni K, Went TR, Mostafa JA. The Outcomes of the Patients Undergoing Harmonic Scalpel Laparoscopic Cholecystectomy. Cureus 2021; 13:e15622. [PMID: 34277239 PMCID: PMC8275056 DOI: 10.7759/cureus.15622] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 06/13/2021] [Indexed: 12/19/2022] Open
Abstract
Laparoscopic cholecystectomy has replaced conventional open cholecystectomy and has become the gold standard surgery for gall bladder pathologies. The harmonic scalpel is one of the instruments used to dissect and coagulate. Most surgeons accept the usage of the harmonic scalpel in laparoscopic cholecystectomy. The other standard method is electrocoagulation by electrocautery. The harmonic scalpel cholecystectomy has several advantages over other methods of laparoscopic cholecystectomy. Electrocoagulation by electrocautery produces smoke which can result in damage to lateral tissues, including the gall bladder. The clips are used along with electrocoagulation to seal cystic duct and cystic artery before dissection. There are various studies about bile leakage in the case of clip application. The harmonic scalpel uses ultrasonic energy to achieve hemostasis without bleeding, dissection, and gallbladder removal from the liver bed during laparoscopic surgery by causing coagulation of proteins. The patient outcome variables such as postoperative pain, duration of hospital stay, postoperative nausea and vomiting, surgical site infections, and other complications have not been compared in review articles. In this review, we collected the information from previously published studies and reviewed the outcomes of patients undergoing harmonic scalpel cholecystectomy. Harmonic scalpel cholecystectomy reduces the duration of hospital stay, duration of operation, intraoperative and postoperative complications, and postoperative pain. Thus the harmonic scalpel can be used instead of other instruments as it has better patient outcomes.
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Affiliation(s)
- Amudhan Kannan
- General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Anjli Tara
- General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.,General Surgery, Stony Brook Medicine, Southampton Hospital, Southampton, USA
| | - Huma Quadir
- Internal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.,Neurology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Knkush Hakobyan
- Diagnostic Radiology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Mrunanjali Gaddam
- Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Ugochi Ojinnaka
- Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Zubayer Ahmed
- Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Jerry Lorren Dominic
- General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.,General Surgery/Orthopedic Surgery, Cornerstone Regional Hospital, South Texas Health System, Edinburg, USA.,General Surgery, Stony Brook Medicine, Southampton Hospital, Southampton, USA
| | - Ketan Kantamaneni
- Vascular Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Terry R Went
- General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Jihan A Mostafa
- Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
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7
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Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography for Removal of Cystic Duct Coils: A Novel Application of an Emerging Technique. ACG Case Rep J 2021; 8:e00576. [PMID: 34007855 PMCID: PMC8126554 DOI: 10.14309/crj.0000000000000576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 12/02/2020] [Indexed: 11/17/2022] Open
Abstract
The altered anatomy of patients after Roux-en-Y gastric bypass (RYGB) surgery creates technical challenges for endoscopic and surgical treatment of gallstones. We present a unique case of a post-RYGB patient with complicated gallbladder surgery requiring coiling and embolization of the cystic duct for bile leak. The cystic duct coils migrated out into the bile duct forming a nidus for infection and biliary obstruction, which was resolved using the novel endoscopic ultrasound–directed transgastric routine endoscopic retrograde cholangiopancreatography technique, with successful transpapillary removal of cystic duct coils in RYGB anatomy.
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8
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Pantoja Pachajoa DA, Bruno MA, Doniquian AM, Alvarez FA. Titanium clip migration after cholecystectomy: original technique for laparoscopic transcystic extraction when endoscopic retrograde cholangiopancreatography fails. J Surg Case Rep 2020; 2020:rjaa289. [PMID: 32939240 PMCID: PMC7482979 DOI: 10.1093/jscr/rjaa289] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 07/07/2020] [Accepted: 07/12/2020] [Indexed: 11/13/2022] Open
Abstract
Surgical clip migration into the common bile duct (CBD) is a rare complication after laparoscopic cholecystectomy (LC). Few cases of surgical clip migration have been reported in the literature, and most of them have been successfully treated with endoscopic retrograde cholangiopancreatography (ERCP). We present a 71-year-old woman with 48 h of abdominal pain, jaundice and fever 6 years after laparoscopic cholecystectomy. She was diagnosed with common bile duct obstruction from surgical clip migration. After failure of ERCP, the patient was successfully treated with an innovative approach by laparoscopic transcystic extraction using endoscopic hose-type biopsy forceps. The presented technique was feasible and safe in expert hands, representing a valuable alternative to avoid the need of a choledochotomy in patients with unsuccessful ERCP.
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Affiliation(s)
- Diana A Pantoja Pachajoa
- Hepato-Pancreato-Biliary Surgery Section, General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina
| | - Marco A Bruno
- Hepato-Pancreato-Biliary Surgery Section, General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina
| | - Alejandro M Doniquian
- Hepato-Pancreato-Biliary Surgery Section, General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina
| | - Fernando A Alvarez
- Hepato-Pancreato-Biliary Surgery Section, General Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo 1248, Córdoba Capital, Argentina
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9
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Ng DYL, Petrushnko W, Kelly MD. Clip as Nidus for Choledocholithiasis after Cholecystectomy-Literature Review. JSLS 2020; 24:JSLS.2019.00053. [PMID: 32161435 PMCID: PMC7044717 DOI: 10.4293/jsls.2019.00053] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Background and Objectives Foreign material in the biliary tree may serve as a nidus for stone formation and would usually present as choledocholithiasis with jaundice or cholangitis. Overall it is a rare occurrence, but there are many anecdotal reports of ingested matter or surgical material such as suture or clips causing biliary stones. Especially interesting are the cases in which there is migration of a metallic clip used in laparoscopic cholecystectomy. Cholecystectomy is such a common operation that although the phenomenon is rare, it is important because it is preventable, and as such a review of the topic seems worthwhile. Methods The available literature was searched using the EMBASE and Ovid databases and reviewed. The various devices and sutures used to occlude the cystic duct in laparoscopic cholecystectomy are discussed with reference to their safety. Results and Conclusion We found that the harmonic scalpel is a reasonable alternative with minimal complications but is however limited by cost. Electrosurgical vessel-sealing, ultrasonic shears, absorbable sutures such as endoloops (PDS), and polymer clips as well absorbable magnesium-calcium-zinc alloy clip are discussed.
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Affiliation(s)
- Daniel Yee Lee Ng
- Department of Surgery, Albury Wodonga Health, Albury, NSW, Australia
| | - Wilson Petrushnko
- Department of Surgery, Albury Wodonga Health, Albury, NSW, Australia
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10
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Roh YJ, Kim JW, Jeon TJ, Park JY. Common bile duct stone development due to a Hem-o-lok clip migration: a rare complication of laparoscopic cholecystectomy. BMJ Case Rep 2019; 12:12/7/e230178. [PMID: 31352393 DOI: 10.1136/bcr-2019-230178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Surgical clip migration is a rare complication of laparoscopic cholecystectomy (LC). Surgical clips migrating into the common bile duct (CBD) can lead to stone formation and obstruction. Here, we report a case of acute cholangitis caused by surgical Hem-o-lok clip migration into the bile duct with stone formation 13 months after LC. A 65-year-old man who underwent LC presented with upper abdominal pain and fever for 3 days. Abdominal CT scan showed a radiopaque material in the CBD, diffuse wall thickening and dilatation of intrahepatic and extrahepatic duct. Emergency percutaneous transhepatic biliary drainage was performed. Twodays later, an endoscopic retrograde cholangio-pancreatography was implemented, and muddy stones and one surgical clip were successfully removed by extraction balloon catheter.
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Affiliation(s)
- Yong Jun Roh
- Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea
| | - Jong Whan Kim
- Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea
| | - Tae Joo Jeon
- Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea
| | - Ji Young Park
- Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea
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