Secondary choledocholithiasis caused by fish bones: a case report and review of the literature

Even years after cholecystectomy, endoscopic retrograde cholangiopancreatography, or foreign body ingestion, biliary complications secondary to foreign body migration should still be considered. The clinical presentation of most biliary foreign bodies is similar to choledocholithiasis. endoscopic retrograde cholangiopancreatography can serve as the preferred treatment modality. When endoscopic retrograde cholangiopancreatography fails, repeating endoscopic retrograde cholangiopancreatography or conversion to surgery should be considered.