PMC4385640_01
CT abdomen demonstrating (a) hyperdense material corresponding to surgical clip(s) in gallbladder fossa and (b) hyperdense material in the distal CBD.
CRIGM2015-504295.001.jpg
PMC4385640_01_CRIGM2015-504295.001.jpg
fig1
Hyperdense material was noted in the lower common bile duct, and a surgical clip was visible in the gallbladder fossa (Figure 1).
Images obtained at ERCP demonstrating intra- and extrahepatic ductal dilatation secondary to an occluding stone in the distal CBD, passing through the pancreatic head, formed around two migrated surgical clips.
CRIGM2015-504295.002.jpg
PMC4385640_01_CRIGM2015-504295.002.jpg
fig2
ERCP with sphincterotomy and balloon trawl was performed and it resulted in removal of a stone from the lower CBD formed around two migrated surgical clips (Figure 2).