Percutanous Cholangioscopic Removal of a Retained Surgical Needle 20 Years after Open Cholecystectomy

Kim, Wan Jung; Cheon, Young Koog; Moon, Jong Ho; Cho, Young Deok

Korean J Pancreas Biliary Tract > Volume 16(1):2011 > Article

Case Reports

The Korean Journal of Pancreas and Biliary Tract 2011;16(1):36-39.

20년전 개복 담낭절제술시 간내에 남겨져 있던 수술바늘을 경피경간 담도경을 이용하여 제거한 1예

김완중, 천영국, 문종호, 조영덕

순천향대학교 내과학교실 소화기연구소

Percutanous Cholangioscopic Removal of a Retained Surgical Needle 20 Years after Open Cholecystectomy

Wan Jung Kim, Young Koog Cheon, Jong Ho Moon, Young Deok Cho

Department of Internal Medicine, Institute for Digestive Research, College of Medicine, Soonchunhyang University, Seoul, Korea

ABSTRACT

Recurrent cholangitis resulting from a surgical needle retained in the bile duct following opencholecystectomy is an extremely rare complication. Such a foreign body can cause biliary stasis and serve as a nidus for the nucleation of bile duct stones, resulting in recurrent cholangitis. We report a case of biliary stones and cholangitis caused by a surgical needle 20 years after open cholecystectomy that was successfully removed by percutaneous cholangioscopy without complications.

Keywords: Foreign body, Surgical needle, Stone, Cholangitis