Download PDF
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2015; 6(03): 123-125
DOI: 10.4103/0976-5042.165714
Case Report
Journal of Digestive Endoscopy

Primary choledocholithiasis after long-term self-expansible metallic stent for ampullary carcinoma: A rare case

Mohan Joshi
Department of Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Ashwini Paranjpe
Department of Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
,
Minakshi Gadhire
Department of Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

Publication Date:
01 October 2019 (online)

  PDF Download Permissions and Reprints

Abstract

In patients with periampullary carcinoma presenting in the inoperable stage, self-expansible metallic stents (SEMS) are preferred for palliation of jaundice. The primary common bile duct (CBD) stones are very rare in a patient who is treated with SEMS for ampullary cancer. We report here a case of primary CBD stones after 2 years of placement of SEMS, whether, reflux of duodenal contents or foreign body reaction to the stent material is the etiology of the formation of stone is a matter of debate.

Key words

Ampullary carcinoma - common bile duct - obstructive jaundice - primary choledocholithiasis - self-expansible metallic stents
 

  • References

  • 1 Jaganmohan S, Lee JH. Self-expandable metal stents in malignant biliary obstruction. Expert Rev Gastroenterol Hepatol 2012;6:105-14.
  • 2 Prat F, Chapat O, Ducot B, Ponchon T, Pelletier G, Fritsch J, et al. A randomized trial of endoscopic drainage methods for inoperable malignant strictures of the common bile duct. Gastrointest Endosc 1998;47:1-7.
  • 3 Bakhru M, Ho HC, Gohil V, Wang AY, Ellen K, Sauer BG, et al. Fully-covered, self-expandable metal stents (CSEMS) in malignant distal biliary strictures: Mid-term evaluation. J Gastroenterol Hepatol 2011;26:1022-7.
  • 4 Kaufman HS, Magnuson TH, Lillemoe KD, Frasca P, Pitt HA. The role of bacteria in gallbladder and common duct stone formation. Ann Surg 1989;209:584-91.
  • 5 Gupta V, Chandra A, Noushif M, Singh SK. Giant stentolith: Complication of a forgotten biliary stent. Endoscopy 2013;45 Suppl 2 UCTN: E126.
  • 6 Kullman E, Frozanpor F, Söderlund C, Linder S, Sandström P, Lindhoff-Larsson A, et al. Covered versus uncovered self-expandable nitinol stents in the palliative treatment of malignant distal biliary obstruction: Results from a randomized, multicenter study. Gastrointest Endosc 2010;72:915-23.
  • 7 Odabasi M, Arslan C, Akbulut S, Abuoglu HH, Ozkan E, Yildiz MK, et al. Long-term effects of forgotten biliary stents: A case series and literature review. Int J Clin Exp Med 2014;7:2045-52.