Stentolith is a term coined to describe the de
novo formation of gall stone encasing a biliary
endoprosthesis or stent. A retained biliary stent maybe
asymptomatic for a long time or have disastrous
complications. We report the case of a 32 year old female
patient having history of ERCP and stenting who
presented 7 years later with complains of abdominal
pain and tenderness in the right hypochondrium.
Radiological investigations demonstrated the presence of
a stentolith within the common bile duct. Open surgical
exploration with a fundus first cholecystectomy and a
choledochoduodenostomy was done along with the stent
removal. Post-operative period was unremarkable with
the patient being discharged on post-operative day 5.
This case has been reported to highlight this rare
complication of a retained biliary endoprosthesis and to
emphasizethe importance of a registry system to keep
track of patients undergoing stenting and its timely
removal.
Keywords :
Stentolith, CBD calculi, GB calculi Cholecystectomy, ERCP, Sphincterotomy