부산대학교 도서관

Common bile duct stones with metallic clips/elastic yarn as the core after choledocholithotomy and C-tube drainage is rare. We report the case of a 79-year-old man with a previous history of gastrectomy who had undergone cholecystectomy, choledocholithotomy and C-tube drainage 5 months earlier. He presented to our emergency department with fever and upper abdominal pain. Abdominal CT revealed a common bile duct stone ; therefore we repeated the choledocholithotomy. Perioperative cholangioscopy revealed a stone with metallic clips and elastic yarn as the core. We closed the common bile duct by suture without T-tube drainage after removing the stone, clips and elastic yarn. The postoperative course was uneventful and the patient has been followed up at the outpatient clinic with no evidence of recurrence.