Obstructive jaundice due to a textiloma mimicking a common bile duct stone

Cimsit B., Keskin M., Ozden I., Alper A.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY, vol.13, no.2, pp.172-173, 2006 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 2
  • Publication Date: 2006
  • Doi Number: 10.1007/s00534-005-1022-z
  • Journal Name: JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.172-173
  • Keywords: common bile duct, foreign body, obstructive jaundice, hydatid disease
  • Istanbul University Affiliated: Yes

Abstract

A foreign body is a rare cause of obstructive jaundice. We report a 19-year-old woman with jaundice caused by a surgical gauze in the common bile duct (CBD). Four yours earlier, she had undergone a cholecystectomy and drainage for hydatid disease of the liver. Her postoperative course was complicated by a biliary fistula that healed after 50 days. She now presented with obstructive jaundice of 2 weeks' duration. Magnetic resonance cholangiopancreatography (MRCP) showed a signal-void mass, consistent with a CBD stone. Surgical exploration of the CBD revealed a surgical gauze as the cause of the obstruction. To the best of our knowledge, this is the first case of a surgical gauze obstructing the CBD requiring surgical removal.