Cystic duct clip migration into the common bile duct

Rowe, David; Nikfarjam, Mehrdad

doi:10.1007/s12664-011-0155-z

Cited by 6 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One hypothesis suggests that the erosion of the bile duct is due to the pressure effects from either intra-abdominal organ movements or subtle clip movement. Eventually, persistent erosion leads to intra-ductal migration of the clips with the passage of the clips along the path of least resistance [5]. Once in the CBD, the migrated clip acts as a nidus for stone formation, resulting in a biliary obstruction [5].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Migrated Laparoscopic Surgical Clips Causing Acute Cholangitis 32 Years After Laparoscopic Cholecystectomy

Yin,

Goh,

Mohd Rosli

et al. 2023

Cureus

View full text Add to dashboard Cite

Surgical clip migration post-laparoscopic cholecystectomy is a rare but important complication to consider in patients presenting with biliary obstruction. Titanium surgical clips are widely used in laparoscopic surgery to ligate vessels and ducts and are particularly important in laparoscopic cholecystectomy to ligate the cystic duct. More common complications associated with clips involve dislodgement, however, there are reported cases of migration into visceral structures causing an obstruction. We describe a case that demonstrated an acute migration of surgical clips into the common bile duct (CBD) within a three-week period, which occurred 32 years after laparoscopic cholecystectomy, likely attributed to erosion. On the patient's first presentation, she had acute pancreatitis with a CT demonstrating clips in the correct position. Three weeks later, the patient presented a second time with acute cholangitis and the repeat CT demonstrated the clips in the CBD. We hypothesize that the erosion of the bile duct is due to the pressure effects from either intra-abdominal organ movements or subtle clip movements, and eventually, persistent erosion leading to intra-ductal migration of the clips with the passage of the clips along the path of least resistance into the CBD, resulting in biliary obstruction. Management included standard treatment for biliary obstruction with intravenous broad-spectrum antibiotics and endoscopic retrograde cholangiopancreatography with excellent outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Eventually, persistent erosion leads to intra-ductal migration of the clips with the passage of the clips along the path of least resistance [5]. Once in the CBD, the migrated clip acts as a nidus for stone formation, resulting in a biliary obstruction [5].…”

Section: Discussionmentioning

confidence: 99%

Migrated Laparoscopic Surgical Clips Causing Acute Cholangitis 32 Years After Laparoscopic Cholecystectomy

Yin,

Goh,

Mohd Rosli

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…We excluded the cases that could not provide adequate details or they were from the same institution. Finally, 53[56789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657] publications reporting 64 cases were reviewed.…”

Section: Methodsmentioning

confidence: 99%

Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017

et al. 2019

View full text Add to dashboard Cite

PCCM is a rare but severe complication of LCBDE. A pre-operative understanding of bile duct anatomy, the use of the minimum number of clips and the harmonic scalpel during the surgeries is necessary. Considering clip-stone or clip-sinus in the differential diagnosis of patients with biliary colics or cholangitis after LCBDE even years after surgery, the detailed medical history and pre-operative examination are inevitable, especially for these patients who had undergone LCBDE.

show abstract

Postcholecystectomy Changes, Biliary Tract Mineralizations, and Intrabiliary Foreign Bodies

Zimmermann¹

2016

Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

View full text Add to dashboard Cite

Cystic duct clip migration into the common bile duct

Cited by 6 publications

References 2 publications

Migrated Laparoscopic Surgical Clips Causing Acute Cholangitis 32 Years After Laparoscopic Cholecystectomy

Migrated Laparoscopic Surgical Clips Causing Acute Cholangitis 32 Years After Laparoscopic Cholecystectomy

Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017

Postcholecystectomy Changes, Biliary Tract Mineralizations, and Intrabiliary Foreign Bodies

Contact Info

Product

Resources

About