Silk Suture Causing Late Post-Cholecystectomy Obstructive Jaundice: A Case Report

Abstract

Obstructive jaundice is usually caused by stones or malignant process. Post-surgical foreign bodies causing obstructive jaundice is a matter of rarest rarity and in most cases it leads to stone formation. A case with history of open cholecystectomy 2 years ago presented with obstructive jaundice that appeared initially using MRCP to be due to biliary stones. During ERCP; a foreign body was found in the common bile duct distal end. The foreign body was extracted and found to be a silk suture that appears to had found its way to the biliary tree lately after the initial surgery and led to obstructive jaundice. Post-open cholecystectomy biliary obstruction may be caused by surgical foreign bodies including suture materials without stone formation and it may have a late presentation.