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Common bile duct foreign body: an unusual case
T Onghena1, L Vereecken, K Van den Dwey
1Department of Surgery, A.Z. St. Vincentius, Ghent, Belgium.
Surgical Laparoscopy & Endoscopy
|March 1, 1992
Summary
Absorbable clips used in laparoscopic cholecystectomy migrated into the biliary tract, causing pain and requiring ERCP. This case questions the safety and mechanism of Absolok Plus clip migration.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biliary Tract Interventions
Background:
- Laparoscopic cholecystectomy is a common procedure for symptomatic gallstones.
- Absorbable clips are utilized for hemostasis and duct ligation during minimally invasive surgeries.
- Patient presented with symptomatic cholelithiasis necessitating surgical intervention.
Observation:
- A 59-year-old woman underwent laparoscopic cholecystectomy with absorbable clips.
- Post-operative follow-up at eleven weeks revealed recurrent right upper quadrant and interscapular pain.
- Endoscopic retrograde cholangiopancreatography (ERCP) was performed to investigate the symptoms.
Findings:
- ERCP revealed two migrated Absolok Plus clips within the biliary tract.
- The migrated clips were identified as the cause of the patient's symptoms.
- This finding suggests a potential complication associated with specific absorbable clip devices.
Implications:
- The migration of Absolok Plus clips raises concerns regarding their long-term safety and fixation reliability.
- Understanding the mechanism of clip migration is crucial for preventing future occurrences.
- Further investigation into the material properties and design of absorbable clips may be warranted to ensure patient safety in biliary surgery.