A case report on unintentional gallbladder stenting during endoscopic management of choledocholithiasis found during laparoscopic cholecystectomy

Abstract

The usual course of treatment for choledocholithiasis is endoscopic retrograde cholangiopancreaticography (ERCP), which almost always entails stent implantation in the common bile duct. This case report describes an unintentional stenting of the gallbladder and cystic duct during endoscopic retrograde cholecystectomy due to choledocholithiasis. A 68-year-old man underwent ERCP with stenting and stone extraction after presenting with jaundice and pain in the right upper quadrant. He was diagnosed as Cholelithiasis with choledocholithiasis and had a laparoscopic cholecystectomy six weeks later after it was discovered that the biliary stent had been unintentionally inserted into the gallbladder and cystic duct. Through a hole made in the gallbladder, the stent was removed laparoscopically, and the cystic duct stump was cut. We are sharing this instance to raise surgeons awareness of biliary stents that are accidentally placed in the wrong place.