UNASSIGNED: The authors report a case of 43-year-old female who presented with the complaint epigastric pain. She had undergone cholecystectomy 7 years back for symptomatic cholelithiasis. Ultrasonography of the abdomen showed a dilated common bile duct following which endoscopic retrograde cholangiopancreatography was done. A single black-colored stone with the metal clip was retrieved.
UNASSIGNED: Post-cholecystectomy clip migration should be considered as one of the differentials for choledocholithiasis. Ultrasonography of the abdomen shows the dilated common bile duct. Further management is done by endoscopic retrograde cholangiopancreatography.
UNASSIGNED: Surgical clips acting as nidus for choledocholithiasis is rare these days but should be considered as one of the differentials for pain abdomen.
■作者报告了一例43岁女性,主诉上腹痛。7年前,她因症状性胆石症接受了胆囊切除术。腹部超声检查显示胆总管扩张,随后进行内窥镜逆行胰胆管造影。取回了带有金属夹的单个黑色石头。
■胆囊切除术后夹子迁移应被视为胆总管结石症的区别之一。腹部超声检查显示胆总管扩张。通过内镜逆行胰胆管造影术进行进一步的治疗。
■目前,作为胆总管结石病的手术夹很少见,但应该被视为腹部疼痛的区别之一。