Foreign bodies as a nucleus for precipitation of gall-stones are not frequently observed. The combination of primary immigrated foreign bodies into the bile ducts and following encasing by a gall-stone could be even more rarely found. A case report is presented concerning a patient, in whom a hemo-clip was fixed away from the bile-ducts in connection with a cholecystectomy and revision of the common bile-duct. After hospital admission because jaundice in the PTC was found a prepapillary concrement with a central hemo-clip, which has served as a nucleus for precipitation after transmural immigration.