# Sharpnel splinter in the common bile duct

## TL;DR

A 59-year-old man developed jaundice due to a shrapnel splinter in his bile duct, 7 years after a combat injury.

## Contribution

This is the first documented case of a shrapnel splinter causing obstructive jaundice in a combat-injured patient from Syria.

## Key findings

- A shrapnel splinter in the common bile duct caused obstructive jaundice 7 years after a combat injury.
- This case highlights the need to consider foreign bodies as a cause of jaundice in post-combat injury patients.

## Abstract

Foreign bodies are a rare cause of obstructive jaundice. In this case report, we present the case of a 59-year-old male who presented with abdominal pain and obstructive jaundice, which was later found out to be caused by an impacted shrapnel splinter in the common bile duct 7 years after a combat injury. To our knowledge, this is the first documented case from Syria. This case report is a reminder that impacted foreign bodies should be considered as a potential cause of obstructive jaundice in patients with previous combat injury.