Foreign Bodies of the Biliary Tract

Ban, Justin L.; Hirose, Frank M.; Benfield, John R.

doi:10.1097/00000658-197207000-00018

Cited by 50 publications

(13 citation statements)

References 10 publications

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“…In the presented report we found a surgical gauze causing obstruction in the biliary tract which was suggestive of a calculus or cholangiocarcinoma on initial evaluation. While the patients in the previous reports5,7 presented with either obstructive jaundice or cholangitis, the patient in our report had unusual absence of icterus despite the gauze being impacted in the hepatic duct and causing marked dilatation of IHBR on imaging studies. Another unusual feature was absence of symptoms suggestive of cholangitis and a late presentation, almost 10 years after the initial operation.…”

Section: Discussioncontrasting

confidence: 50%

“…Others included missiles and ingested materials. Penetrating injuries (missiles) usually present with a long symptom free period 7,8. There is documented susceptibility to reflux of food into the biliary system and foreign bodies like fish bone and tomato skin2,3 have been retrieved in patients with enteric-biliary anastomosis or those who had endoscopic sphincterotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Plain X-rays of abdomen have revealed foreign bodies in only a few cases and correct diagnosis was not possible in majority 7. Ultrasonography and MRCP findings are also inconclusive in most of the reported cases and usually mimic CBD calculus 7,9. Cipolletta et al5 reported retrieval of a surgical gauze from CBD by endoscopic sphincterotomy.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

Bhandari¹,

Singh²,

Vyas³

et al. 2011

Gut Liver

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Biliary obstructions are rarely caused by a foreign body and have received sparse attention. We present an unusual case with pruritis and abdominal pain caused by impacted full length surgical gauze within the common bile duct. The patient had previously undergone an open cholecystectomy. Radiological investigations were inconclusive and suggestive of either a calculus or a cholangiocarcinoma. Surgical exploration revealed full length surgical gauze within the common bile duct. Because imaging modalities are often non-determinant, the possibility of biliary tract obstruction from a foreign body should be borne in mind for patients with unusual presentations, especially those who have previously undergone surgery.

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Section: Discussioncontrasting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

Bhandari¹,

Singh²,

Vyas³

et al. 2011

Gut Liver

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“…The bone must stray into the afferent loop and exhibit retrograde movement to the site of anastomosis and then remain in the bile duct. Ban et al [ 14 ] reviewed the literature on bile duct foreign bodies and reported a 69.8% incidence of stone formation in patients with bile duct foreign bodies, and 100% in patients with ingested food. We presume that fish bones can be easily caught in the duct because of their elongated shape and that anastomotic stenosis also influences retention, causing the bone to become a nidus for stone formation.…”

Section: Discussionmentioning

confidence: 99%

A Bile Duct Stone Formation around a Fish Bone as a Nidus after Pancreatoduodenectomy

Sakakida

Sato

Doi

et al. 2018

Case Rep Gastroenterol

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We report a rare case of bile duct stone formation around an ingested fish bone as a nidus after pancreatoduodenectomy. A 78-year-old woman was admitted to our department for fever and epigastric pain. Abdominal computed tomography revealed an elongated bile duct stone containing a linearly shaped foreign body of bone density. Enteroscopic lithotomy was performed using single balloon enteroscopy to safely remove the stone and foreign body from the bile duct. The foreign body was determined to be a fish bone by pathological examination and component analysis.

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“…A nonabsorbable black silk suture from previous biliary surgery is a typical example. Ban et al 4 ) reported that the incidence of stone formation in the biliary tree around organic substances, such as silk or other ingested foreign materials, was 82% of the recurrent stone formation around a foreign body. Metals and metallic fragments were found in the biliary tree in these cases, but only 33% of the inert foreign bodies were found to have caused the stone formation.…”

Section: Discussionmentioning

confidence: 99%

Biliary Metal Stent as a Nidus for Bile Duct Stone

Cheon¹,

Moon²,

Cho³

et al. 2002

Korean J Intern Med

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Several cases of recurrent stone formation caused by a surgical material as a nidus have been reported. Recently, we experienced one case in which a migrated metal stent might have been served as a nidus for common duct stone formation. The diagnosis was confirmed by ERCP, the stone was successfully removed with endoscopic therapy. Six years ago, she had undergone a lithotripsy using a percutaneous cholangioscopy (PTCS) because of intrahepatic cile duct stoes. Six years later, she developed abdominal pain in the right upper quadrant. ERCP revealed the dilated extrahepatic bile duct and left intrahepatic bile duct and the presence of a large elongated freely mobile filling defaet suggestive of common bile duct stone containing metal mesh in the distal common bile duct. The removed stone with endoscopic sphincterotomy was soft and dark brown in color with metal stent.

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Foreign Bodies of the Biliary Tract

Cited by 50 publications

References 10 publications

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

Diagnostic Dilemma in an Unusual Case of Common Bile Duct Obstruction

A Bile Duct Stone Formation around a Fish Bone as a Nidus after Pancreatoduodenectomy

Biliary Metal Stent as a Nidus for Bile Duct Stone

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