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Korean J Pancreas Biliary Tract > Volume 1(2):1996 > Article
The Korean Journal of Pancreas and Biliary Tract 1996;1(2):279-283.
수술용 봉합사가 담석의 원인으로 추정되었던 총담관 담석증 1예
명승재, 김연석, 박주헌, 유병무, 서동완, 이성구, 김명환, 민영일
울산대학교 의과대학 서울중앙병원 소화기내과
Suture Material as a Nidus of a Common Bile Duct CaIculus
Seung Jae Myung, Yeon Suk Kim, Joo Hun Park, Byeong Moo Yoo, Dong Wan Seo, Sung Koo Lee, Myung Hwan Kim, Young Il Min
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Corresponding author:  Seung Jae Myung,
ABSTRACT
We report a case in which a suture material may serve as a nidus for common bile duct calculi. A 40-year-old woman, 4 years after cholecystectomy and common bile duct exploration, presented right upper quadrant pain and jaundice. Endoscopic retrograde cholangiography revealed filling defect in the distal common bile duct. After endoscopic sphincerotomy, several stones and linear suture material were extracted. Grossly, the stone was shown to be penetrated by the suture material. At electron microscopic examination, calcium bilirubinate granules and cholesterol crystals were attached to the linear strands of the suture material. The implications of this observation, in particular as a potential complication after biliary tract surgery, are discussed.
Keywords: Suture material, Common bile duct stone, ERCP
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