Obstructive Jaundice Due to Foreign Body in the Bile Duct: An Unusual Finding

Giestas, Sílvia; Mendes, Sofia; Gomes, Dário; Sofia, Carlos

doi:10.1016/j.jpge.2015.12.001

Cited by 6 publications

(6 citation statements)

References 4 publications

(7 reference statements)

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“…Revision of all published data on surgical management of liver FBs confirm that surgical extraction needs to be considered in all patients, mostly based on lessons learned from the adult literature [ 44 ]. Published experiences in adults have reported miscellaneous long-term complications related to retained FBs in the liver: delayed surgery may lead to liver abscess, hepatic granuloma, pseudotumor [ 2 , 6 , 7 , 8 ] or dislocation possibly causing biliary or vascular damage [ 9 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

et al. 2022

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Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, depending on the nature of the foreign body, its route of penetration and timing after the initial event. Moreover, the location of the FB inside the liver parenchyma may pose specific issues related to the possible complications of a challenging surgical extraction. Different clinical settings and the need for highly specialized surgical skills may influence the overall management of these children. Given the rarity of this event, a systematic review of the literature on this topic was conducted and confirmed the pivotal role of surgery in the pediatric population.

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Section: Discussionmentioning

confidence: 99%

“…Patients are often completely asymptomatic but the persistence of a foreign material inside the parenchyma may cause severe complications, usually infections such as liver abscess, hepatic granuloma, pseudotumor [ 2 , 6 , 7 , 8 ] or dislocate even over the long-term, possibly causing biliary or vascular damage [ 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

et al. 2022

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“…Similar case was published by Bhandari et al 1 where a surgical gauze was removed with aid of choledochotomy as ERCP and biliary cannulation failed in their case . Cipolletta et al 3 and Giestas et al 4 reported successful retrieval of surgical gauze piece from CBD with ERCP and sphincterotomy.…”

Section: Discussionmentioning

confidence: 99%

Foreign bodies in common bile duct in post cholecystectomy status—case series of 8 cases—A single center experience in western India

Desai

Patel

Kabrawala

et al. 2021

Int J Gastrointest Interv

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Foreign bodies in common bile duct (CBD) are rare. Obstructive jaundice in patients who have undergone cholecystectomy may be due to a variety of causes. Common causes of obstruction in these cases are residual stones, inflammatory or ischaemic strictures following CBD injury during cholecystectomy or malignant strictures. Foreign bodies in the bile duct in these post cholecystectomy patients are known but reported very rarely. Clinical features and biochemistry of these patients are no different than those due to other causes mentioned above. Imaging studies will show obstruction due to stones or sludge or narrowing but may not give conclusive diagnosis of a foreign body. Endoscopic ultrasound is helpful in these cases as it shows a hyperechoic foreign body within the stone if the substance is a metallic clip. In our current case series, we are presenting eight such cases with post cholecystectomy foreign bodies, in the form of materials used for ligating or clipping the cystic duct before transection during cholecystectomy, or a mistakenly left behind gauze piece, migrating into the bile duct and forming a nidus for stone formation and causing CBD obstruction. To conclude, if a patient presents with biliary obstruction with a history of cholecystectomy, the possibility of foreign body in the CBD must be considered as a possible differential diagnosis.

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“… The patient underwent a biopsy, which revealed a 1.7 cm curved, linear, rusty, metallic surgical suture needle containing bile. A retained surgical item poses a hazard to surgical safety and occurs occasionally despite various systems and safeguards [ 1 , 2 , 3 ]. Any surgical material, including tools, supplies, and equipment, can inadvertently be left inside a patient’s abdomen and can cause subsequent harm to the patient.…”

mentioning

confidence: 99%

“… Abdominal radiographs, which revealed that the needle was on the right side of the third lumbar spine vertebra. The symptoms and signs of a retained surgical item include adhesion, foreign body migration, visceral perforation, and abscess formation [ 1 ]. These symptoms can occur early in the postoperative period or may develop after months or years [ 5 ].…”

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confidence: 99%

Migration of a Retained Surgical Suture Needle in the Common Bile Duct

2022

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Retained surgical foreign bodies have been a cause of concern since physicians began operating on patients. Retained surgical foreign bodies in the common bile duct (CBD) are rare and may cause cholangitis and jaundice. We report the case of a patient who initially presented with fever and right upper-quadrant abdominal pain. He had received cholecystectomy and choledochojejunostomy 28 years ago and had been well since then. Abdominal computed tomography (CT) revealed left-lobe liver abscess and a linear curve of high-density material. Endoscopic retrograde cholangiopancreatography (ERCP) displayed mild dilatation of the common bile duct (CBD) and choledojejunostomic fistula of the middle CBD. A curved, linear, rusty, metallic surgical suture needle was detected and successfully removed under ERCP.

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Obstructive Jaundice Due to Foreign Body in the Bile Duct: An Unusual Finding

Cited by 6 publications

References 4 publications

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

Foreign bodies in common bile duct in post cholecystectomy status—case series of 8 cases—A single center experience in western India

Migration of a Retained Surgical Suture Needle in the Common Bile Duct

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