MANAGEMENT OF FORGOTTEN CBD STENT WITH STENTOLITH (STENT-STONE COMPLEX) - A RARE CASE SERIES

Riddhika Majumder; Chinmaya Ranjan Behera; Deepak Kumar Das; P S Pujari; Sudhir Kumar Panigrahi; Amaresh Mishra

Volume : VIII, Issue : XII, December - 2019

MANAGEMENT OF FORGOTTEN CBD STENT WITH STENTOLITH (STENT-STONE COMPLEX) - A RARE CASE SERIES

Riddhika Majumder, Chinmaya Ranjan Behera, Deepak Kumar Das, P S Pujari, Sudhir Kumar Panigrahi, Amaresh Mishra

Abstract :

Stentolith also known as stent–stone complex of the common bile duct (CBD), is an extremely rare long term complication of a forgotten or retained stent in the CBD, with only a handful of cases reported. A high index of suspicion is required to diagnose stentolith especially in patients presenting with cholangitis, with a history of ERCP done long before. We report a total of 3 patients, who presented with either non specific pain abdomen or features of biliary obstruction, admitted in the Department of General Surgery at KIMS, PBMH. They were diagnosed with choledocholithiasis on imaging (USG abdomen / MRCP). Intra operatively all the patients were found to have retained stents with de novo stone formation.