학술논문
내시경역행담췌관조영술로 치료한 복강경 총담관 탐색술 후 Hem-o-lok 클립 이동으로 인한 재발성 담관염
Recurrent Cholangitis due to Hem-o-lok Clip Migration after Laparo-scopic Common Bile Duct Exploration Treated with Endoscopic Retrograde Cholangiopancreatography
Recurrent Cholangitis due to Hem-o-lok Clip Migration after Laparo-scopic Common Bile Duct Exploration Treated with Endoscopic Retrograde Cholangiopancreatography
Document Type
Article
Author
장지웅 / Ji Woong Jang; 전제혁 / Jae Hyuck Jun; 이동규 / Dong-kyu Lee; 김혜영 / Hyeyoung Kim; 도영석 / Young Seok Doh; 백일현 / Il Hyun Baek; 정성희 / Sung Hee Jung
Source
대한췌담도학회지 / The Korean Journal of Pancreas and Biliary Tract. Jul 31, 2021 26(3):195
Subject
Language
Korean
ISSN
1976-3573
Abstract
총담관으로의 클립 이동은 복강경 수술의 드문 합병증이다. 저자들은 4년 전 복강경 담낭절제술과 복강경 총담관탐색술을 동시에 받은 66세 남자에서 Hem-o-lok 클립 이동으로 인한 담관 결석 1예를 문헌고찰과 함께 보고하고자 한다. 상복부통증을 주소로 내원한 환자의 복부 전산화단층촬영에서 담관의 확장과 다량의 담관 결석 및 담관을 침범한 이물질이 의심되었다. 내시경역행담췌관조영술을 하여 다량의 담관 결석과 함께 이물질을 제거하였다. 이물질의 정체는 Hem-o-lok clip이었다. 복강경 담낭절제술과 복강경 총담관탐색술을 받은 환자가 상복부 통증을 호소한다면, 드물지만, 클립 이동에 의한 담관 결석 가능성도 염두에 두어야 한다.
Clip migration into the common bile duct (CBD) is a rare complication of laparoscopic biliary surgery. We report a case of Hem-o-lok clip migration-induced CBD stone in a 66-year-old man who underwent laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) 4 years ago. The patient visited the emergency room for upper abdominal pain. CT scan revealed increased CBD diameter and multiple CBD stones. We performed endoscopic retrograde cholangiopancreatography for CBD stone extraction. Cholangiography revealed multiple suspected filling defects in the CBD; stones and unknown foreign body were removed using Basket. The foreign body found in the duodenum was a Hem-o-lok clip. When epigastric pain develops in a patient who has undergone LC and LCBDE, it is possible that biliary stone occurs due to clip migration. Korean J Pancreas Biliary Tract 2021;26(3):195-199
Clip migration into the common bile duct (CBD) is a rare complication of laparoscopic biliary surgery. We report a case of Hem-o-lok clip migration-induced CBD stone in a 66-year-old man who underwent laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) 4 years ago. The patient visited the emergency room for upper abdominal pain. CT scan revealed increased CBD diameter and multiple CBD stones. We performed endoscopic retrograde cholangiopancreatography for CBD stone extraction. Cholangiography revealed multiple suspected filling defects in the CBD; stones and unknown foreign body were removed using Basket. The foreign body found in the duodenum was a Hem-o-lok clip. When epigastric pain develops in a patient who has undergone LC and LCBDE, it is possible that biliary stone occurs due to clip migration. Korean J Pancreas Biliary Tract 2021;26(3):195-199