6533b85efe1ef96bd12bf4e0
RESEARCH PRODUCT
A 9-Year Retained T-Tube Fragment Encased within a Stone as a Rare Cause of Jaundice
Mf NeurathPr GalleArthur HoffmanRalf Kiesslichsubject
Malemedicine.medical_specialtymedicine.medical_treatmentBile Duct DiseasesExtrahepatic CholestasisGastroenterologyInternal medicinemedicineHumansCholecystectomyLiver damageAged 80 and overCommon bile ductbusiness.industryForeign-Body ReactionGastroenterologyJaundiceSurgeryJaundice ObstructiveTreatment OutcomeBiliary stonemedicine.anatomical_structureStentsCholecystectomymedicine.symptombusinessdescription
Biliary diseases such as cholangitis may cause jaundice and liver damage. Here, we report on an unusual cause of jaundice in an 84-year-old man 9 years after cholecystectomy. Ultrasound analysis revealed unclear extrahepatic cholestasis and subsequent ERCP showed a large biliary stone sourrounding a T-tube fragment that had remained in the common bile duct for more than 9 years after surgery. The tip of the drainage and the stone could be successfully removed using Dormia baskets. This case suggests that plastic material accidentally left in the common bile duct favours the development of large biliary casts when present over long periods of time.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2008-07-12 | Zeitschrift für Gastroenterologie |