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Surgical clip found at duodenal ulcer after laparoscopic cholecystectomy: report of a case
Mehdi M Samim1, Christopher P Armstrong
1Department of Surgery, St. James University Hospital, Leeds, United Kingdom.
Unlabelled:
Surgical clips may incorporate into the duodenal ulcer after laparoscopic cholecystectomy leading to a rare complication.
Case Report:
A 70-year-old woman, 15 years after laparoscopic cholecystectomy, developed weight loss, anemia and gastric outlet obstruction secondary to a chronic duodenal ulcer. Gastroscopy showed a clip in the ulcer bed. At surgery she was found to have gastric outlet obstruction and mobilization of the duodenum revealed a large ulcer with a migrated clip from the cystic duct in its base. The ulcer was excluded and the clip was removed. She was perfectly well at the follow-up after 2 months.
Conclusions:
Migration of endo-surgical clips is a rare complication after laparoscopic surgery. Surgeons, gastroenterologists and radiologists should be aware of this late complication of laparoscopic cholecystectomy in cases of acute abdominal symptoms.