Post-Cholecystectomy Clip Migration-Induced Acute Pancreatitis: A New Case and Review of the Literature

Panara, Ami; Barkin, Jodie A.; Barkin, Jamie S.

doi:10.14309/00000434-201810001-01326

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of migration of dropped clips, resulting in clinically significant complications, is quite rare, only described by case reports in the literature. Though there are no formal studies, case report data would suggest that intra-abdominal migration is most common, with multiple case reports of migration into the common bile duct resulting in a nidus for stone formation [1][2][3][4][5][6] . Other intra-abdominal migration sites described in prior case reports include the duodenum [2,[6][7] and subdiaphrag-matic area [8] .…”

Section: Discussionmentioning

confidence: 99%

“…Though there are no formal studies, case report data would suggest that intra-abdominal migration is most common, with multiple case reports of migration into the common bile duct resulting in a nidus for stone formation [1][2][3][4][5][6] . Other intra-abdominal migration sites described in prior case reports include the duodenum [2,[6][7] and subdiaphrag-matic area [8] . Intrathoracic migration appears much rarer, with sparse cases described in the literature [9] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Abdominal wall abscess secondary to post-cholecystectomy clip migration: A case report

2023

IJCR

View full text Add to dashboard Cite

CaseReport IJCR (2023) 7:295 Abdominal wall abscess secondary to post-cholecystectomy clip migration: A case report Background: The migration of surgical clips after laparoscopic cholecystectomy is rare and can lead to complications such as clip-related biliary stones and intra-abdominal abscesses. In this article, we report a case of a retained dropped metal clip after a laparoscopic cholecystectomy resulting in an abscess that necessitated through the right abdominal wall and into the subcutaneous tissues 13 months later. Summary: Our patient is a 79-year-old male, with multiple comorbidities who underwent a laparoscopic cholecystectomy for acute cholecystitis. The cystic duct and artery were divided in-between 10-mm metallic clips. After 13 months, patient presented with a perihepatic abscess and a retained metallic clip necessitating through the right abdominal wall into the subcutaneous tissues. Patient was taken to the operating room and underwent an incision and drainage of the right abdominal wall abscess and retrieval of the migrating cholecystectomy clip. Conclusion: To avoid complications related to dropped cholecystectomy clips, it is important to use the correct technique for applying clips and attempt to retrieve any noticeably dropped clips intraoperatively.

show abstract