Forgotten CBD stent (102 months) with stone-stent complex: A case report.

Forgotten CBD stent (102 months) with stone-stent complex: A case report.

Int J Surg Case Rep. 2016 Dec 07;30:162-164

Authors: Barai V, Hedawoo J, Changole S

Abstract
INTRODUCTION: Choledocholithiasis is presence of stone in Common bile duct (CBD) which can be treated by endoscopy or surgery [1]. Retained foreign bodies like stents forms a nidus for stone formation resulting in pain, fever, jaundice.
CASE PRESENTATION: 60 years female patient admitted in surgery ward with features of cholangitis with computed tomography showing cholangitic abscess with dilated common bile duct and sludge around stent in situ. Stone was found at proximal end of stent during surgery.
DISCUSSION: Stents may remain without complications or may migrate, and rarely form nidus for stone formation. If kept for long time they lead to bacterial proliferation, biofilm formation and precipitation of calcium bilirubinate presenting as fever, pain, jaundice. Stent-stone complex can be treated endoscopically and surgically [6,7]. As stent can cause stone formation, infection and other complications, timely removal of stent should advised.
CONCLUSION: III-effects of stent in-situ should be explained, record should be maintained [8] and patient should be advised regular follow up and stent removal after 6 weeks.

PMID: 28012336 [PubMed - as supplied by publisher]

http://ift.tt/2i72tK8