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http://dx.doi.org/10.4166/kjg.2018.72.6.313

Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy  

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)
Publication Information
The Korean Journal of Gastroenterology / v.72, no.6, 2018 , pp. 313-317 More about this Journal
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
Surgical instruments; Foreign-body migration; Cholecystectomy; Cholangiopancreatography, endoscopic retrograde;
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1 Yip SK, Tan YH, Cheng C, Sim HG, Lee YM, Chee C. Routine vascular control using the Hem-o-lok clip in laparoscopic nephrectomy: animal study and clinical application. J Endourol 2004;18:77-81.   DOI
2 Walker WE, Avant GR, Reynolds VH. Cholangitis with a silver lining. Arch Surg 1979;114:214-215.   DOI
3 Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Campion JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy treated by endoscopic biliary sphincterotomy. Gastrointest Endosc 1992;38:608-611.   DOI
4 Ahn SI, Lee KY, Kim SJ, et al. Surgical clips found at the hepatic duct after laparoscopic cholecystectomy: a possible case of clip migration. Surg Laparosc Endosc Percutan Tech 2005;15:279-282.   DOI
5 Ha SS, Lim YR, Lee JH, Et al. Common bile duct stone caused by migrated surgical clip 10 years after laparoscopic cholecystectomy. Korean J Pancreatobiliary 2015;20:42-45.
6 Lee KW, Lee JW, Jeong S, et al. A case of common bile duct stone formed around a surgical clip after laparoscopic cholecystectomy. Korean J Gastroenterol 2003;42:347-350.
7 Oh HJ, Jung HJ, Chai JI, et al. A case of common bile duct stone developed due to a surgical clip as a nidus: an experience of successful management by endoscopy. Korean J Gastroenterol 2003;42:351-353.
8 Liu Y, Ji B, Wang Y, Wang G. Hem-o-lok clip found in common bile duct after laparoscopic cholecystectomy and common bile duct exploration: a clinical analysis of 8 cases. Int J Med Sci 2012;9:225-227.   DOI
9 Qu JW, Wang GY, Yuan ZQ, Li KW. Hem-o-lok clips migration: an easily neglected complication after laparoscopic biliary surgery. Case Rep Surg 2017;2017:7279129.
10 Lucioni A, Valentin C, Gong EM, et al. Computed tomography appearance of the Lapra-Ty and Weck Hem-o-lok clips in patients who recently underwent laparoscopic urologic surgery. J Comput Assist Tomogr 2006;30:784-786.   DOI
11 Ponsky L, Cherullo E, Moinzadeh A, et al. The Hem-o-lok clip is safe for laparoscopic nephrectomy: a multi-institutional review. Urology 2008;71:593-596.   DOI
12 Kwon YW, Hur BW, Oh WS, et al. A case of common bile duct obstruction caused by migration of surgical metal clips. Korean J Med 2005;69:S772-S776.
13 Matsumoto H, Ikeda E, Mitsunaga S, Naitoh M, Furutani S, Nawa S. Choledochal stenosis and lithiasis caused by penetration and migration of surgical metal clips. J Hepatobiliary Pancreat Surg 2000;7:603-605.   DOI
14 Cetta F, Lombardo F, Baldi C, Cappelli A, Giubbolini M. A prospective study on the long-term fate of metallic clips used during laparoscopy cholecistectomy. Gastroenterology 1995;108:A408.
15 Attwell A, Hawes R. Surgical clip migration and choledocholithiasis: a late, abrupt complication of laparoscopic cholecystectomy. Dig Dis Sci 2007;52:2254-2256.   DOI
16 Hsu TC. Comparison of holding power of metal and absorbable hemostatic clips. Am J Surg 2006;191:68-71.   DOI
17 Ray S, Bhattacharya SP. Endoclip migration into the common bile duct with stone formation: a rare complication after laparoscopic cholecystectomy. JSLS 2013;17:330-332.   DOI
18 Chong VH, Chong CF. Biliary complications secondary to post-cholecystectomy clip migration: a review of 69 cases. J Gastrointest Surg 2010;14:688-696.   DOI
19 Wasserberg N, Gal E, Fuko Z, Niv Y, Lelcuk S, Rubin M. Surgical clip found in duodenal ulcer after laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 2003;13:387-388.   DOI
20 Kapoor R, Singh KJ, Suri A, et al. Hem-o-lok clips for vascular control during laparoscopic ablative nephrectomy: a single-center experience. J Endourol 2006;20:202-204.   DOI