An Iatrogenic Gallstone with Pancreatitis

Cm, Farr; Larson, Claire; He, Gladen; Witherspoon, Lynn R.; Lesperance, Richard N.; Moseley, Douglas

doi:10.1097/00004836-198910000-00029

Cited by 14 publications

(9 citation statements)

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“…The resultant inflammation surrounding the area leads to erosion of the cystic stump and CBD wall allowing the surgical clips to migrate into the CBD. Then the surgical clip acts as a nidus for the bile to aggregate around and form a stone, which obstructs the bile duct [ 4 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Post-cholecystectomy clip migration—a unique method of retrieval

Aaron

Palamuthusingam

2022

Journal of Surgical Case Reports

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Post-cholecystectomy clip migration with formation of bile duct stones is a known but rare complication of laparoscopic cholecystectomy. This report discusses the case of a 64-year-old lady who presented with biliary colic symptoms 12 years post laparoscopic cholecystectomy. Computed tomography of the abdomen demonstrated one surgical clip located in the distal common bile duct, with a bile stone formed around it. This was removed via ERCP with spyglass cholangioscopy and lithotripsy.

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Section: Discussionmentioning

confidence: 99%

Post-cholecystectomy clip migration—a unique method of retrieval

Aaron

Palamuthusingam

2022

Journal of Surgical Case Reports

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“…Although rare but late complications of these clips have been reported. Complications like slippage of clip and, a more concerning, migration of clip into CBD with subsequent stone formation 16 studied upon by some authors who concluded that these ultimately increase health cost 17,18 and legal fees. 19 The Ultrasound technology of Harmonic Scalpel is one of the latest inventions in laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Clipless laparoscopic cholecystectomy: 3 Port access.

Hassan

Gulzar

Iqbal

et al. 2020

TPMJ

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Objectives: Use to ultrasound vibrations instead of electric current makes Harmonic Scalpel a safer and more efficient instrument for dissection during laparoscopic surgeries. The property of both coagulation and cutting using single Harmonic Scalpel instruments saves time of surgery reducing anesthesia load. Cystic artery and liver bed dissection has been widely used and established but a contemporary approach is the coagulation and cutting of cystic duct with Harmonic Scalpel eliminating the need for clips and reducing the epigastric port size from 10mm to 5mm thus reducing post-operative pain. Study Design: Prospective Study. Setting: This study was conducted in Department of surgery Quaid e Azam Medical College Bahawalpur. Period: Dec, 2015 to Dec, 2017. Material & Methods: 60 patients undergoing laparoscopic cholecystectomy 3 ports were introduced one 10mm and two 5mm. the dissection and division of both cystic artery and duct was done by a single instrument, Harmonic Scalpel after tying the cystic duct with 2/0 extracorporeal knot. Results: None of the patients developed Major or Minor bile leaks or hemorrhage. Conclusion: Harmonic scalpel provides a safe alternative for dissecting and division of cystic duct and may replace the more widely used clip technique. The number of ports can be reduced to 3 and size reduced from 10mm to 5 mm. Harmonic scalpel technique eliminates the time wasted during changing of instruments per-operatively and also reduces the risk of remote electric injury.

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“…Our review of the literature found 5 cases (including our own), dating from 1989 to 2018. 11–14 Patients were 80% female, with a mean age of 58 years (range 36 years–74 years) (Table 1). Mean time from cholecystectomy to AP presentation was 2.56 years (range 15 days–6 years).…”

Section: Discussionmentioning

confidence: 99%

Postcholecystectomy Biliary Clip Migration Causing Acute Pancreatitis

Panara

Barkin

2019

ACG Case Rep J

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Postcholecystectomy biliary clip migration is a rare but important cause of acute pancreatitis (AP). We report the case of a patient with laparoscopic cholecystectomy for cholelithiasis with cholecystitis and recurrent AP 15 and 19 months after. Imaging findings were suggestive of biliary clip migration. Suspected mechanisms for endoclip migration–induced AP include migration of the clip at a site of dehiscence and migration. When considering this diagnosis, a plain radiograph may be helpful as a comparison to previous imaging to assess for changes in the number of endoclips present, and proper diagnosis can help lead to appropriate management.

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An Iatrogenic Gallstone with Pancreatitis

Cited by 14 publications

References 0 publications

Post-cholecystectomy clip migration—a unique method of retrieval

Post-cholecystectomy clip migration—a unique method of retrieval

Clipless laparoscopic cholecystectomy: 3 Port access.

Postcholecystectomy Biliary Clip Migration Causing Acute Pancreatitis

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