Academy of Medical Sciences of Islamic Republic of IranArchives of Iranian Medicine1029-29771312010JanuaryShrapnel Splinter in the Common Bile Duct5356ENMohammad HosseinSomiLiver and Gastrointestinal Disease Research Center (LGDRC), Tabriz University of Medical Science, Tabriz, Iran. mhosseinsina@yahoo.comParisaRezaeifarLiver and Gastrointestinal Disease Research Center (LGDRC), Tabriz University of Medical Science, Tabriz, Iran. mhosseinsina@yahoo.com0013010131/AIM.0013Obstructive jaundice is infrequently caused by a foreign body. We report a 42-year-old man who presented with obstructive jaundice by an impacted shrapnel splinter in the common bile duct (CBD) 23 years after a combat injury. To our knowledge, this is the first case report of this type in Iranian literature, although there are a few reports of combat related injuries in other countries. This diagnosis should be considered in the assessment of any patient with jaundice and abdominal pain who has experienced a previous combat injury.