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Cholangitis Secondary to Retained Common Bile Duct Clip

Abstract

Domenic La Paglia and Natalie Kew

We present a case of an 81-year-old male who presented with a 1-week history of upper abdominal pain and fevers. CT imaging revealed what appeared to be a metal surgical clip in the distal common bile duct related to the patient’s laparoscopic cholecystectomy 17 years prior. This was confirmed on a dedicated CT intravenous cholangiogram. The patient went on to have an ERCP, which revealed that the metallic clip had passed spontaneously.

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