The Forgotten Stentolith : A Rare Case Report


Authors : Dr. Neelanjana Ghosh; Dr. Purohit Naresh Kumar; Dr. Jatin G. Bhatt; Dr. Jayendra G. Vagadia; Dr. Ashwini Modi

Volume/Issue : Volume 8 - 2023, Issue 4 - April

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://bit.ly/3M8d0lm

DOI : https://doi.org/10.5281/zenodo.7912009

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

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