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Related Experiment Videos

Clip migration causes choledocholithiasis after laparoscopic cholecystectomy.

T Yoshizumi1, T Ikeda, T Shimizu

  • 1Departments of Surgery and Radiology, Saiseikai Karatsu Hospital, Karatsu, Saga, Japan. Tyoshizumi1223@aol.com

Surgical Endoscopy
|April 5, 2001
PubMed
Summary

Surgical clip migration is rare but can cause complications like bile duct stones. This case highlights a migrated clip causing choledocholithiasis one year after laparoscopic cholecystectomy.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Case Studies

Background:

  • Laparoscopic cholecystectomy is a common procedure.
  • Surgical clip migration is a rare but documented complication.
  • Bile duct clips are used to secure the cystic duct during surgery.

Observation:

  • A patient developed upper abdominal pain post-cholecystectomy.
  • Initial investigations showed bile leakage but no stones or clips.
  • A year later, severe pain indicated a migrated clip in the common bile duct with stones.

Findings:

  • A metal surgical clip migrated from the cystic duct stump to the common bile duct.
  • The migrated clip caused bile stasis and subsequent choledocholithiasis (bile duct stones).

Related Experiment Videos

  • Bile leakage post-surgery may increase the risk of clip migration.

    • Implications:

    • This case underscores the importance of careful surgical technique and clip management.
    • Delayed complications like clip migration necessitate thorough patient follow-up.
    • Prompt diagnosis and endoscopic removal of migrated clips and stones are crucial for patient recovery.