Migration of vessel clip into the common bile duct and late formation of choledocholithiasis after laparoscopic cholecystectomy

González, Francisco; Dominguez, Elias; Lede, Ángel; Jose, Portela; Miguel, P.R

doi:10.1016/j.amjsurg.2010.08.011

Cited by 15 publications

(16 citation statements)

References 9 publications

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“…[16]Bile stone with a clip in the center10 yearsMetallicGonzalez et al . [17] Bile stone containing clip14 yearsMetallicGoshi et al . [11]Cholangitis6 yearsNot mentionedRajendra et al .…”

Section: Discussionmentioning

confidence: 99%

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

et al. 2016

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BackgroundLaparoscopic cholecystectomy is the gold standard treatment of gallbladder disease. Post-cholecystectomy syndrome is a severe postoperative complication which can be caused by multiple mechanisms and can present with multiple disorders. The wide use of laparoscopy induces the need to understand more clearly the presentation and pathophysiology of this syndrome. Post-cholecystectomy Mirizzi syndrome is one form of this syndrome and, according to literature, this is the first report that clearly describes it.Case presentationWe describe the case of a 62-year-old Greek woman who underwent laparoscopic cholecystectomy because of gallstone disease. A few days after surgery, post-cholecystectomy syndrome gradually developed with mild bilirubin increase in association with epigastric pain, nausea, and vomiting. After performing ultrasound, magnetic resonance cholangiopancreatography, and endoscopic retrograde cholangiopancreatography, we conducted a second laparoscopic surgery to manage the obstruction, which was converted to open surgery because of the remaining inflammation from the post-endoscopic retrograde cholangiopancreatography acute pancreatitis. Four polymeric laparoscopic clips were removed because they were identified as the cause of her post-cholecystectomy syndrome. She had a quick recovery without further complications.ConclusionsPostoperative Mirizzi syndrome induced by the migration of polymer laparoscopic clips is a rare (only one case referring to polymeric clips has been published in the literature) but a well-identified complication of laparoscopic cholecystectomy which can confuse the diagnostic and therapeutic field requiring simultaneous immediate management.

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“…[16]Bile stone with a clip in the center10 yearsMetallicGonzalez et al . [17] Bile stone containing clip14 yearsMetallicGoshi et al . [11]Cholangitis6 yearsNot mentionedRajendra et al .…”

Section: Discussionmentioning

confidence: 99%

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

et al. 2016

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“…To the best of our knowledge based on a literatureassisted search, there is rare report of foreign bodies of biliary tract in clinical medicine. The causes are as follows: (1) it is an iatrogenic complication, the surgical hemostatic clamp has been widely used, and it is generally considered to be very safe. However, after laparoscopic cholecystectomy, the migration of titanium clip to the common bile duct was observed and generally considered to be the bile duct injury, the improper placement of titanium clip, the sub-clinical bile leakage and infection facilitated the migration of titanium clip.…”

Section: Discussionmentioning

confidence: 99%

The Diagnosis and Therapy of Retained Stones and Residual Nasobiliary Drainage Tube in the Common Bile Duct via Endoscope: Report of a Rare Complication

Wang¹,

Tang²,

Fu³

et al. 2015

AJMCR

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Introdution: Foreign body in biliary tract is a rare iatrogenic complication, and the patient usually has a medical history of surgeries in biliary system. The foreign body in biliary tract blocks the biliary tract and induces acute cholangitis and cholecystitis, some become cores and form the common duct stones. The upper abdominal pain can occur repeatedly accompanied by fever, icterrus, nausea and vomiting, and the blood test and liver function turn out abnormal. In combination with medical history, clinical manifestation, type B ultrasound, CT and MRCP, the diagnosis can be confirmed. Generally speaking, surgical treatment is considered as the principle. With the improvement in ERCP technology and endoscopic accessories, the minimally invasive interventional therapy has been further applied. Case presentation: A 72-year old patient, who experienced upper abdominal pain during the hospitalization in our hospital and the diagnosis was confirmed to be cholecystolithiasis and multiple stones in common bile duct after type B ultrasound and CT. The patient underwent ERCP, EST, biliary tract calculus removal and LC surgery. After discharge, the patient intermittently experienced upper abdominal discomfort and dull abdominal pain without fever and icterus. Type B ultrasound and CT: the thin stripped shaped tubular substance and calculus shadows were observed inside common bile duct. Then the patient underwent ERCP, which indicated the residual end of nasobiliary drainage tube of intestinal cavity of descending part of duedenum, the length was about 6 cm, and it was removed using a calculus dislodger. It was difficult to target the residual end of the nasobiliary drainage tube in the common bile duct using a calculus dislodger, so the calculus dislodger was replaced by stoneremoving Foley's tube and finally an about 8 cm long residual end of nasobiliary drainage tube was taken out. Conclusion: There are only a few case reports in the literature describing the iatrogenic complications of retained stones and residual nasobiliary drainage in the common bile duct after having ERCP. We describe the diagnosis and therapy of the complications by endoscopy to alert clinician.

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“…It is necessary to keep supporting material in the CBD to protect it from post-operative CBD stenosis. This has led to adverse immunological and inflammatory responses [10,11]. These reactions commonly trigger apoptosis necessary to remove the inflamed and damaged tissue and maintain the regeneration and healing mechanisms [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…This has led to adverse immunological and inflammatory responses [10,11]. These reactions commonly trigger apoptosis necessary to remove the inflamed and damaged tissue and maintain the regeneration and healing mechanisms [11,12]. Necrosis is generally induced by cell poison effects and apoptosis showed the effect on the cell biological and morphological features.…”

Section: Introductionmentioning

confidence: 99%

“…Necrosis is generally induced by cell poison effects and apoptosis showed the effect on the cell biological and morphological features. Apoptosis plays a defensive role in immune reaction or cell damage via noxious or disease agents [10][11][12]. Dissimilar to apoptosis, the proteolytic enzyme (cytoplasmic content) of secretion of necrotic cells enters into the surrounding tissue and induces the inflammation.…”

Section: Introductionmentioning

confidence: 99%

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In vitro and in vivo assessment of biocompatibility of AZ31 alloy as biliary stents: a preclinical approach

Song

Qin

et al. 2020

Arch Med Sci

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Introduction: Biomaterial technology due to its lack of or minimal side effects in tissues has great potential. Traditionally biomaterials used were cobalt-chromium, stainless steel and nitinol alloys. Biomaterials such as magnesium (Mg) and zinc (Zn) have good biocompatibility and consequently can be a potential material for medical implants. To date, the effects of AZ31 alloy stent on cell apoptosis are still unclear. The current investigation was designed to determine the effect of AZ31 alloy stent on necrosis and apoptosis of common bile duct (CBD) epithelial cells. Material and methods: We experimented with application of different concentrations of AZ31 alloy stent to primary mouse extrahepatic bile epithelial cells (MEBECs) and estimated the effect on apoptosis and necrotic cells. Apoptosis and pro-apoptosis expression were estimated through real-time PCR. For in vivo protocol, we used rabbits, implanted the AZ31 bile stent, and estimated its effect on the CBD. AZ31 (40%) concentration showed an effect on the apoptotic and necrotic cells. Results: Real-time PCR revealed that AZ31 (40%) concentration increased the apoptotic genes such as NF-κB, caspase-3, Bax and Bax/Bcl-2 ratio as compared to the control group. In the in vivo experiment, AZ31 alloy stents were implanted into the CBD and showed an effect on the alteration the hema tological, hepatic and non-hepatic parameters. Conclusions: To conclude, it can be stated that AZ31 induces apoptosis via alteration in genes including nuclear factor kappa-B (NF-κB), caspase-3, Bax and Bax/Bcl-2 ratio and improved the hematological, hepatic and non-hepatic parameters.

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Migration of vessel clip into the common bile duct and late formation of choledocholithiasis after laparoscopic cholecystectomy

Cited by 15 publications

References 9 publications

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

The Diagnosis and Therapy of Retained Stones and Residual Nasobiliary Drainage Tube in the Common Bile Duct via Endoscope: Report of a Rare Complication

In vitro and in vivo assessment of biocompatibility of AZ31 alloy as biliary stents: a preclinical approach

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