A 56-year-old woman, who had undergone laparoscopic cholecystectomy and Nissen fundoplication four years earlier, came to the emergency room due to epigastric pain radiating to the right hypochondrium over the previous 4 days, fever, jaundice, choluria and acholia. She presented abdominal pain in the right hypochondrium, with no rebound tenderness. Blood analysis detected cholestasis, and abdominal computed tomography (Fig. 1) demonstrated dilatation of the intra and extrahepatic biliary tract due to a metallic clip in the distal common bile duct, a fluid collection at the site of the gallbladder above the duodenum, and left portal thrombosis. The clip was removed by endoscopic retrograde cholangiopancreatography, and treatment was established with low molecular weight heparin, which resulted in resolution of symptoms.
Please cite this article as: Álvarez Abad I, Gutierrez Grijalba O, Sarriugarte Lasarte A, Calle Baraja M. Migración de clip al colédoco tras colecistectomía laparoscópica. Cir Esp. 2017;95:111.
