• Acute obstructive cholangitis developed secondary to a common duct stone formed around a silver hemostatic clip, introduced at cholecystectomy two years previously, that had migrated from a long cystic duct remnant. Stone formation around a silk suture is well known, and silver clips in the area of the porta hepatis may constitute a similar hazard.
(Arch Surg 114:214-215, 1979)
Walker WE, Avant GR, Reynolds VH. Cholangitis With a Silver Lining. Arch Surg. 1979;114(2):214-215. doi:10.1001/archsurg.1979.01370260104019