The Korean Journal of Gastroenterology (대한소화기학회지)

The Korean Society of Gastroenterology (대한소화기학회)
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Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy

복강경 담낭절제술 후 헤모락 클립의 이동으로 발생한 복통 1예

  • Rou, Woo Sun (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Joo, Jong Seok (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Kang, Sun Hyung (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Moon, Hee Seok (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Kim, Seok Hyun (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Sung, Jae Kyu (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Lee, Byung Seok (Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Lee, Eaum Seok (Department of Internal Medicine, Chungnam National University College of Medicine)
  • 류우선 (충남대학교 의과대학 내과학교실) ;
  • 주종석 (충남대학교 의과대학 내과학교실) ;
  • 강선형 (충남대학교 의과대학 내과학교실) ;
  • 문희석 (충남대학교 의과대학 내과학교실) ;
  • 김석현 (충남대학교 의과대학 내과학교실) ;
  • 성재규 (충남대학교 의과대학 내과학교실) ;
  • 이병석 (충남대학교 의과대학 내과학교실) ;
  • 이엄석 (충남대학교 의과대학 내과학교실)
  • Received : 2018.06.17
  • Accepted : 2018.08.29
  • Published : 2018.12.25
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Abstract

During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip.

Keywords

References

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  1. Common bile duct stone development due to a Hem-o-lok clip migration: a rare complication of laparoscopic cholecystectomy vol.12, pp.7, 2019, https://doi.org/10.1136/bcr-2019-230178
  2. Migration of Hem‐o‐lok clip into the common hepatic duct after laparoscopic bile duct exploration: A case report vol.9, pp.9, 2018, https://doi.org/10.1002/ccr3.4834
  3. Migration of non-absorbable polymer clips in hepato-biliary-pancreatic surgery: a report of four cases vol.7, pp.1, 2018, https://doi.org/10.1186/s40792-021-01269-6