Migration of these Hem-o-Lok clips into the urinary tract following robotic, laparoscopic radical prostatectomy, pyelolithotomy, pyeloplasty and open, laparoscopic partial nephrectomy has been reported in the literature. Weck Hem-o-lok appliers have been designed for exclusive use with Weck Hem-o-lok ligating clips. HHS Vulnerability Disclosure, Help The Weck Hem-o-lok system is available in a range of clip sizes Medium, Medium-Large, Large and Extra-Large. Hem-o-lok clips are widely used during robot-assisted and laparoscopic radical prostatectomy to control the lateral pedicles. One month after surgery the . This site needs JavaScript to work properly. Postoperative clip migration is a rare but well-established complication. Client Reviews; Verdicts & Settlements; Practice Areas. The Non-Absorbable polymer clip is inert, nonconductive, radiolucent, and does not interfere with CT or X-ray diagnostics. The https:// ensures that you are connecting to the By: Irvin Jackson. To prevent the incidence of clip migration, all the technical factors in the surgery should be considered: confirming the relationship of Calot's triangle during dissection, minimizing the number of clips, and avoiding unnecessary surgical procedures [10]. 2014 Jan-Feb;40(1):123-4;discussion 124. doi: 10.1590/S1677-5538.IBJU.2014.01.18. Bosses are designed to retain clip in applier jaws. Non-absorbable polymer locking clip is inert, non-conductive, CT / MRI compatible. A Data Day presentation scheduled for Thursday will include a presentation on hearing loss statistics potentially linked to 3M Combat Arms earplugs. To date, only two cases were reported in the literature. Bicycle, Scooter, and Electric Bike Accidents, Cerebral Palsy Malpractice Injury Lawsuits, Stevens Johnson Syndrome (SJS) Disease Injury Lawyers, Clergy Sexual Abuse Lawyers | Priest Abuse Attorneys, Pennsylvania Sexual Abuse Lawsuit Lawyers, FDA Issues Warning for Weck Hem-O-Lok Ligating Clips, Bicycle, Scooter, and Electric Bike Accident, Stevens Johnson Syndrome (SJS) Disease Injury. 2021-02-06 19:57. Ligation Product Catalog, At least 5 times greater clip retention in lateral pull-off force, At least 1.8 times greater leak resistance in leak pressure testing, At least 1.3 times greater clip retention in axial pull-off force. 2006;13(8):1147-1149. $1,308.00. sharing sensitive information, make sure youre on a federal The various clip size options, as well as variable applicator shaft lengths . The Hem-o-lok product line is an innovative cold ligation system that combines the security of a 2.0 suture with the speed of a metal clip for open and laparoscopic surgery. Magnetic resonance cholangiopancreatography (MRCP) showed a slightly dilated common bile duct with a low signal filling-defect in the distal common bile duct, considering CBD stone, with the filling-defect being represented by a red arrow. He had a medical history of ipsilateral retroperitoneal laparoscopic pyelolithotomy at another hospital 8 years ago. This is the first report of delayed small bowel obstruction after conventional or robotic laparoscopic surgery caused by the Hem-o-lok clip, and it is strongly recommend removal of all Hem-i-loks that are not adequately deployed at the time of surgery. Case. government site. Clip's tactile feedback confirms jaw seating and secure vessel placement. Material Description Packaging; HUD523111: Weck Hemoclip Traditional Ligating Clip Applier for Medium Clips, 11" Curved: . By: Staff Writers, The father of a New York City woman has filed a wrongful death lawsuit against Intuitive Surgical, Inc., alleging that his daughter died from injuries sustained following the use of, January 18, 2012 Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017. We present a rare case of clip migration 8 years after robotic NSS. Cetta F., Baldi C., Lombardo F., Monti L., Stefani P., Nuzzo G. Migration of metallic clips used during laparoscopic cholecystectomy and formation of gallstones around them: surgical implications from a prospective study. . official website and that any information you provide is encrypted doi: 10.1136/bcr-2019-231201. Because the Hem-o-lok System is a cold ligation A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones. It could act as nidus for stone formation under extended exposure to urine. CT scan is widely used to investigate patients with pain or other abdominal symptoms. PYZY16-011). The Hem-o-Lok clip (Weck Closure Systems, Research Triangle Park, NC, USA), first introduced in 1999 (), is a nonabsorbable polymer clip with a lock engagement feature and teeth in the jaws that provide good security.These clips are frequently used to ligate the renal hilum vessels during minimally invasive nephrectomy, as well as for other laparoscopic procedures [5 6]. Click on the Contact Us Now tab to the right,visit our website,or call us toll-free in the United States at 800-295-3959 to find medical malpractice attorneys in your state who may assist you. 2019 Feb;47(2):1052-1058. doi: 10.1177/0300060518817216. Open Endoscopic. But opting out of some of these cookies may affect your browsing experience. The plaintiffs medical expert opined that the defendant surgeons had breached the standard of care when they failed to properly apply the clip, recognize and appreciate the loose clip, actively search for the clip, locate the clip in the plaintiffs bladder, and retrieve the clip during surgery prior to closing the bladder neck, which led to a Hem-o-Lok clip being left behind in the plaintiffs bladder that was undiagnosed for approximately eighteen months resulting in pain, infection, stone formation, worsening incontinence and the need for otherwise unnecessary treatment including surgery to remove the stone and clip. The Massachusetts Appeals Court stated that a plaintiffs offer of proof will prevail before a tribunal if he (1) shows that the defendant is a provider of health care as defined in 60(B); (2) demonstrates that the health care provider did not conform to good medical practice; and (3) establishes resulting damage. . Patients are warned that if they are considering donating a kidney, to talk to their health care provider about the potential for surgical complications; the methods used during living donor surgery, and the advantages and disadvantages of each method; and the risks and benefits associated with donating a kidney. Gastroenterologia y Hepatologia. Absorbable sutures are also used to seal the cystic artery and duct in some studies [15, 16]. Inspect the ligation site after application to ensure proper closure of the clip. The functionality is limited to basic scrolling. doi: 10.1089/cren.2019.0087. Currently, Hem-o-lok clip is widely applied in . BMJ Case Rep. 2020 Jan 21;13(1):e231201. a A nephroscopy, Intraoperative Images. A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones. Accessibility Case presentation The Massachusetts Appeals Court therefore vacated the judgment dismissing the plaintiffs claims against the defendant surgeons and remanded the case to the trial court where the findings of the tribunal are to be replaced by the decision of the Massachusetts Appeals Court and a determination that the offer of proof by the plaintiff, if properly substantiated, is sufficient to raise a legitimate question of liability appropriate for judicial inquiry. FDA 10mm Middle-Flat Single-Action Laparoscopic Clip Applier for June 21, 2012 Endoscopic retrograde cholangiopancreatography demonstrates the filling-defect in the common bile duct. Kandil and Kavlakoglu reported that harmonic scalpel has been proved to be as effective and safe as surgical clips in the ligation of the cystic duct after a period of training [17, 18]. The https:// ensures that you are connecting to the The subsequent surgery to remove the stone led to the discovery of a Weck Hem-o-Lok clip within it. Case . Accessibility Concretion formation in the bladder in the result of Hem-o-lok clip Hem-o-Lok clip migration into renal pelvis and stone formation as a The daily Pittsburgh gazette. Outdoor EDC Multi Tools Mini Pocket Folded Keychain Key Holder Clip Women diagnosed with cancer may be eligible for settlement benefits. Get started by entering our Catalog Number, Product Type, or Description. However, you may visit "Cookie Settings" to provide a controlled consent. A rare late complication of laparoscopic cholecystectomy. Keywords: WECK Hem-o-lok Ligating Clip Appliers. The etiology and exact incidence of clip migration are both unclear. Description. Medical Malpractice State Laws Regarding Certificates Of Merit And Expert Witness Qualifications Kandil T., Nakeeb A. E., Hefnawy E. E. Comparative study between clipless laparoscopic cholecystectomy by harmonic scalpel versus conventional method: a prospective randomized study. compared to Ethicon Unusual cause of abdominal pain after laparoscopic cholecystectomy. The expert further attributed the plaintiffs later symptoms, including the bladder stone formation, to the negligence of the defendants. not been repaired by unauthorized personnel. Hem-o-lok Clips Migration: An Easily Neglected Complication after Laparoscopic Biliary Surgery. The appeals court denied this argument because the plaintiffs expert had provided a factually based statement by a qualified expert, which was sufficient to meet the plaintiffs burden of proof at that stage of the pre-trial proceedings. Laparoskopische Clip Applikator LT300 Chirurgisch Instrumente 10 MM X Disclaimers. Clip III in three common clip failure modes. This medical device, said the FDA, is contraindicated for ligation of the renal artery during laparoscopic living donor nephrectomy, known as kidney removal for kidney donor transplant surgery. TESTIMONIALS. Massachusetts Appellate Court Finds Plaintiff's Offer Of Proof My phone calls were always returned quickly and all of my questions were answered in a thorough manner. By: Staff Writers. April 11, 2012 The Hem-o-Lok clips were almost completely endoluminal, and were attached at one end to the vesicourethral anastomosis. The listed Teleflex item(s) are not in every case completely identical to the item illustrated but are the closest match available. Military service members between 2003 and 2015 may be eligible for a 3M earplug lawsuit payout over hearing damage or tinnitus. This category only includes cookies that ensures basic functionalities and security features of the website. Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. Learn about the features and benefits of the Weck Auto Endo5 Hem-o-lok Automatic Clip Applier. Eight patients, 6 males and 2 females (mean age of 56.3 years; range of 35 to 76 years), who underwent LC and LCBDE, were included in this retrospective, non-randomized trial. The Massachusetts Appeals Court stated that a factually based statement by a qualified expert, without more, is sufficient to meet the tribunal standard, such as in the case before it. In our view, further studies are needed to establish more effective and safe methods to prevent complications after LC and LCBDE. The surgical clips aids in closing tissue structures and preventing intraoperative bleeding. Search and browse yearbooks online! Case presentation: A 62-year-old Caucasian man underwent robot-assisted laparoscopic radical prostatectomy for a T1c Gleason 8 prostate cancer. The second possible pathogenesis is bile leakage caused by intraoperative bile tract injury. Epub 2012 Mar 7. Feroci F., Lenzi E., Krning K. C., Scatizzi M. A single-institution review of the absorbable clips used in laparoscopic colorectal and gallbladder surgery: Feasibility, safety, and effectiveness. Generating an ePub file may take a long time, please be patient. -, Antunes A. G., Peixe B., Guerreiro H. Pancreatitis and cholangitis following intraductal migration of a metal clip 5 years after laparoscopic cholecystectomy. Advances in laparoscopy have made LC+LCBDE a widely accepted strategy for patients with gallstones and choledocholithiasis. Weck Hem-o-lok L Polymer Ligating Clips; Rx, sterile, large size, non-absorbable polymer ligation clips; 6 clips per cartridge, 14 cartridges per sales unit, 12 sales units per case; Mfg. In our case, limited endoscopic sphincterotomy with balloon dilation (ESBD) was performed to extract the Hem-o-lok clips. The postoperative period and follow-up were uneventful. Retroperitoneoscopic pyelolithotomy: a minimally invasive alternative for the management of large renal pelvic stone. Case summary: A 59-year-old female was admitted to hospital because of fever and acute right upper abdominal pain. As the #1 selling locking polymer clip, the Hem-o-lok System offers quality, reliability, and performance in clip security. Zhu H.-Y., Xu M., Shen H.-J., et al. HOLC migration into renal pelvis is a rare complication following laparoscopic pyelolithotomy. Rarely is a product so perfectly matched with an indication as exists with the Hem-o-Lok and Cholecystectomy. Get started by entering our Catalog Number, Product Type, or Description. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. We report a case with a complaint of severe abdominal pain for the previous 20 days. Home; Thank you for your submission! -. We successfully removed them via transurethral surgery using a holmium laser. System. Submitting a contact form, sending a text message, making a phone call, or leaving a voicemail does not create an attorney-client relationship. Exposure to the toxic herbicide Paraquat has been linked to a risk of Parkinson's disease. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawsuit Alleges Breast Cancer Caused By Camp Lejeune Water Contamination, Group of 10 Paragard Lawsuits Involving IUD Breakage To Be Selected Bellwether Trial Pool, Analysis of 3M Earplug Hearing Loss Statistics To Be Presented in Open Court During "Data Day". Hem-o-Lok clip migration into renal pelvis and stone formation as a Zhu H.-Y., Xu M., Shen H.-J., et al. Bard Davol 0010105 KuGEL Hernia Patch 2/case. Unable to load your collection due to an error, Unable to load your delegates due to an error. If a page cannot be made accessible, we will work to make a text version available. Regular exposure to chemicals in hair relaxer may cause uterine cancer, ovarian cancer and other injuries. Migration of HOLCs into the collecting system is a fairly rare complication after laparoscopic pyelolithotomy. An official website of the United States government. 2016 doi: 10.1016/j.gastrohep.2016.08.007. The FDA wrote that it notified health care providers that Weck Hem-o-Lok Ligating Clips should not be used for the this purpose due to concerns of serious risks to the organ donor. Hem-o-lok Clip Found in Common Bile Duct after Laparoscopic Cholecystectomy and Common Bile Duct Exploration: A Clinical Analysis Of 8 Cases. Before Disclaimer. Magnetic resonance cholangiopancreatography (MRCP) showed a slightly dilated common bile duct with a low signal filling-defect in the distal common bile duct, considering CBD stone (Figure 1). Medium, Medium-Large, Large, and Extra-Large. We present a clinical case of the formation of concretion in the bladder as a result of migration of the Hem-o-lok clip after . Gastrointestinal Endoscopy. Migration of a Hem-o-Lok clip to the renal pelvis after laparoscopic partial nephrectomy: A case report. Medical Supplies Disposable Buyers, Importers & Purchasing Managers Non-contrast CT scan demonstrated a renal stone in the left ureteropelvic junction complicated by mild hydronephrosis. Figure 3. Multifactor may contribute to the process: the first possible pathogenesis is inappropriate application of clips including incomplete closure of cyst duct and incorrect placement of clips that result in biloma. Case Report: Migrated Hem-o-Lok clips in the ureter: a rare cause of Endoscopic retrograde cholangiopancreatography demonstrates the filling-defect in the common bile duct. Cholangitis caused by surgical clip migration into the common bile duct: a rare complication of a daily practice. Security of the closure should be confirmed after ligation. December 21, 2012 Kavlakoglu B., Pekcici R., Oral S. Clipless cholecystectomy: which sealer should be used? Urethroscopy showed a hem-o-lok clip strongly attached to the area between the vesico-urethral anastomosis and the urethral sphincter and a severe bladder neck contracture behind it. The Weck Hem-o-Lok Ligating Clip is a V-shaped clip made from a non-absorbable material that comes in various sizes. All rights reserved. Exposure of Calot's triangle and securing the gallbladder vessels and cystic duct are the key steps of the LC. Background: Case report of a mysterious myocardial mass: an aetiological conundrum. On January, 2017, this patient was readmitted for intermittent upper abdominal pain for a month without fever and jaundice. Plain radiography of IVU showing the opacity projected on the right kidney collecting system. The Hem-o-lok ligating clips may become dislodged following ligation of the renal artery after laparoscopic donor nephrectomy. Up to date, few cases of surgical clip migration have been reported in the literature. Laboratory examination showed no abnormal parameters. 2015;49(5):424425. Disclaimer. All Rights Reserved. Product. Hemoclip Ligating Clip System | Medline Industries, Inc. Note: If you need help accessing information in different file formats, see Terms Of Use | Privacy Policy | Disclaimer | Accessibility Compliance Policy | Library | Diversity StatementWe are committed to making this website accessible, and as consistent with the Web Content Accessibility Guidelines (WCAG) 2.0 as possible. Type II Hem-o-lok clip migration and stone formation in robot assisted Hem-o-lok clips (HOLC) were first introduced in 1999. Open appliers designed for Medium, Medium-Large, Large, and Extra-Large clips, Opens at box-lock for easy, thorough cleaning Endoscopic Appliers, Endo appliers designed for Medium-Large, Large, and Extra-Large clips, Medium-Large appliers available on a 5 mm platform, enabling ligation of 10 mm vessels Accident Attorneys. Unauthorized use of these marks is strictly prohibited. Careers. Morrisville, NC 27560, Toll Free: 866-246-6990 The plaintiffs expert opined that he believed the clip was inserted during the first procedure performed by the defendants, traveled to the bladder, and was not located or retrieved prior to closure. We present here a case of massive migration of the clips after open partial nephrectomy. Find many great new & used options and get the best deals for FDA 10mm Middle-Flat Single-Action Laparoscopic Clip Applier for Titanium Clips at the best online prices at eBay! ESBD is a promising technique in treating common bile duct stones with a high success rate of stone extraction and a low risk of complications. This article describes a case of 51-year-old man with a complaint of left flank pain. In 2006, the manufacturer added this contraindication to the Instructions for Use after receiving 15 reports of 12 injuries and three deaths which occurred between 2001 and 2005. government site. Both comfortable and chic Details about Electric Catcher Prod Cattle Absorbable clips seem to be a safe and effective method in providing hemostasis in the cystic artery and during ligation of the cystic duct [11]. Would you like email updates of new search results? She has a history of LC and had a LCBDE surgery 2 mo ago. Please use the "Sign Up" button below to create an account. Apart from choledocholithiasis, clip migration may also lead to acute pancreatitis [4], duodenal ulcer [5], biliary-colonic fistula [6], subdiaphragmatic abscess [7], and so forth. The U.S. Food and Drug Administration (FDA) just issued a warning for Weck Hem-o-Lok Ligating Clips. Migration of Hem-O-Lok in Pelvicaliceal System Mimicking Renal Calculus Following Robotic Nephron-Sparing Surgery: A Case Report with Review of Literature. Backed by 84 peer-reviewed articles, no other polymer clip stands on so much evidence to support December 27, 2011 The authors declare that there are no conflicts of interest regarding the publication of this article. In three studies, application of absorbable clips brings fewer complications compared to nonabsorbable clips [1214]. 2022 Apr 6;10(10):3188-3193. doi: 10.12998/wjcc.v10.i10.3188. Soga K., Kassai K., Itani K. Duodenal ulcer induced by Hem-o-Lok clip after reduced port laparoscopic cholecystectomy. Mr. Zekowski is always on top of his game. The sliding-clip renorraphy technique using Hem-o-lok clips for parenchymal closure in partial nephrectomy is largely used in laparoscopic, robotic and sometimes open surgery. Epub 2014 Nov 10. As an example, an appeals court recently overturned a trial court decision in which the plaintiffs case was dismissed, even though he alleged that medical clamps were left inside him after undergoing a surgical procedure. Surgical clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. The listed Teleflex item(s) are not in every case completely identical to the item illustrated but are the closest match available. Leominster High School - Magnet Yearbook (Leominster, MA) doi: 10.1016/j.clinre.2015.02.002. 2x TYC Left Right Headlight Assembly For Mercedes-Benz GL550 2008~2012. Please be sure to specify the particular web page or function at issue, and provide us with any other information you may think will help us locate the area. Water contamination at Camp Lejeune in North Carolina between 1953 and 1987 caused cancers, birth defects, miscarriages and other side effects for U.S. Marines and their family members. Teleflex Medical 544250 - McKesson Medical-Surgical catalog number 544240, all lots. Federal government websites often end in .gov or .mil. Please use the "Log In" button below to continue. Click here for However, the exact mechanism of this condition remains controversial. The Hem-o-lok Polymer Ligating Clip is not designed for use as a tissue marker. The ePub format is best viewed in the iBooks reader. Provide some details about your potential case, which will be submitted for review by a lawyer. LIGAMAX 5, Ethicon LIGACLIP ERCA 10 mm, and Covidien Endo Hem O Lok Clip Applicator - YouTube (PDF) Delayed Hem-o-Lok Clip Erosion Following Salvage Radical Hem-o-lok Clip Found in Common Bile Duct after Laparoscopic Application of more than one clip to all other vessels should be left to the surgeon's judgment.' Millions of recalled Philips DreamStation, CPAP, BiPAP and ventilator machines may release toxic foam particles and chemicals into the air pathway. Weck Hem-o-Lok L Large (544240) Int J Med Sci. the Standard. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. Open Surgical Appliers All Weck ring-handled reusable The secondary calculi and dislodged HOLCs can be removed through PNL by an alligator plier after laser lithotripsy. Since the contraindication issued in 2006, there have been three more kidney donor deaths, all linked to the contraindicated use. You may switch to Article in classic view. eCollection 2018 Mar. In spite of many advantages, Francesco Cetta indicated that absorbable clips and sutures are still a nidus for subsequent stones formation [10]. -, Bayles AC, Bhatti A, Sakthivel A, Naisby G, Gowda B. J Endourol. Weck Hem-o-lok appliers have been designed for exclusive use with Weck Hem-o-lok ligating clips. We present a case, a 54-year-old woman, of clip-induced cholangitis resulting from surgical clip migration 12 months after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. selling locking polymer clip, the Hem-o-lok System We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. The contact form sends information by non-encrypted email, which is not secure. Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Hem-o-lok clip migration to the common bile duct after laparoscopic common bile duct exploration: A case report World J Clin Cases. through a 5 mm port, Available in 32 cm or extended-length 45 cm, 35 cm shaft, the longest available among automatic endoscopic clip appliers, for better Her medical history was unremarkable except for . Following . Hem-o-lok Publications | PubFacts Department of Urology, Rabin Medical Center, Beilinson Hospital, Petach-Tiqwa, affiliated with Sackler Medical School, Tel-Aviv University, Israel (Dekel) Scand J Urol. Case presentation: Case presentation We present 4 cases of NAPC migration that occurred after laparoscopic surgery. Weck Endo5 Hem-o-Lok Medium Large (ML) Automatic Endoscopic Applier (543965). a A nephroscopy found a HOLC after comminuting the stone. free of charge, these appliers as long as the appliers are used as intended for application Clip migration tends to develop from 11 days to 20 years; the median time was 26 months [3]. doi: 10.1111/ases.12384. Always refer to the instructions for use. JoVE is the world-leading producer and provider of science videos with the mission to improve scientific research . Advanced Search Coronavirus articles and preprints Search examples: "breast cancer" Smith J 160, Pujian Road, Pudong New Area, Shanghai 200127, China. Create profitable strategy to export District map from Swaziland with Top District map exporting importing countries, Top District map importers & exporters based on 0 export shipment records till Mar - 23 with Ph, Email & Linkedin. The patient was successfully treated with endoscopic sphincterotomy plus balloon dilation (ESBD) and Hem-o-lok clips extraction. Teleflex sent follow-up Important Product Correction Notice letters dated 8/2/06 to all of their Hem-o-lok Ligating Clips customers via registered mail on 8/7/06. We also use third-party cookies that help us analyze and understand how you use this website. Designed for confidence Featuring a first-of-its-kind locking mechanism and distinct tactile feedback, the Hem-o-lok System gives surgeons the confidence of knowing they've locked securely on the patient vessel. Horizon Metal Ligation System - Appliers, Medium, 6 clips/cartridge, 14 cartridges/box, Medium-Large, 6 clips/cartridge, 14 cartridges/box, Large, 6 clips/cartridge, 14 cartridges/box, Extra-Large, 6 clips/cartridge, 14 cartridges/box. World J Clin Cases. Laparoskopische Clip Applikator Einzel Aktion / Bulldog Klammer 10mm . Dr. Valentin Atanassov's Weck Hem-o-lock Testimonial about Setting a CT image showed left renal stones with mild hydronephrosis. Abdominal US revealed a mildly dilated biliary tree with no visualized CBD stone. FOIA Please use the "Log In" button below to continue. system, there's no chance of thermal spread to Magnetic resonance cholangiopancreatography (MRCP) showed a slightly dilated common bile duct with a low signal filling-defect in the distal common bile duct, considering CBD stone, with the filling-defect being represented by a red arrow.

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