Surgical Clip Migration and Choledocholithiasis: A Late, Abrupt Complication of Laparoscopic Cholecystectomy

Attwell, Augustin; Hawes, Robert H.

doi:10.1007/s10620-006-9101-9

Cited by 13 publications

(9 citation statements)

References 9 publications

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“…[19]Clip in duodenal ulcer bed15 yearsMetallicDolay et al . [20] Obstructive jaundice and acute biliary pancreatitis due to choledocholithiasis6 monthsMetallicAttwell and Hawes [21]Biliary stricture6 yearsEndoscopic stent – surgical suturesSteffen et al . [22] Cholangitis15 yearsMetallicAhn et al .…”

Section: Discussionmentioning

confidence: 99%

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

et al. 2016

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BackgroundLaparoscopic cholecystectomy is the gold standard treatment of gallbladder disease. Post-cholecystectomy syndrome is a severe postoperative complication which can be caused by multiple mechanisms and can present with multiple disorders. The wide use of laparoscopy induces the need to understand more clearly the presentation and pathophysiology of this syndrome. Post-cholecystectomy Mirizzi syndrome is one form of this syndrome and, according to literature, this is the first report that clearly describes it.Case presentationWe describe the case of a 62-year-old Greek woman who underwent laparoscopic cholecystectomy because of gallstone disease. A few days after surgery, post-cholecystectomy syndrome gradually developed with mild bilirubin increase in association with epigastric pain, nausea, and vomiting. After performing ultrasound, magnetic resonance cholangiopancreatography, and endoscopic retrograde cholangiopancreatography, we conducted a second laparoscopic surgery to manage the obstruction, which was converted to open surgery because of the remaining inflammation from the post-endoscopic retrograde cholangiopancreatography acute pancreatitis. Four polymeric laparoscopic clips were removed because they were identified as the cause of her post-cholecystectomy syndrome. She had a quick recovery without further complications.ConclusionsPostoperative Mirizzi syndrome induced by the migration of polymer laparoscopic clips is a rare (only one case referring to polymeric clips has been published in the literature) but a well-identified complication of laparoscopic cholecystectomy which can confuse the diagnostic and therapeutic field requiring simultaneous immediate management.

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Section: Discussionmentioning

confidence: 99%

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

et al. 2016

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“…However, clip migration has only been reported in the context of stereotactic biopsy (Kass et al, 2002;Birdwell and Jackman, 2003;Bernaerts et al, 2007). In addition, a few case reports of clip migration have been published in the context of laparoscopic abdominal surgical interventions (Attwell and Hawes, 2007;Minamida et al, 2007). A possible explanation for this observed clip migration could be insufficient clip attachment to surrounding tissue, caused by clip insertion without direct visual control.…”

Section: Discussionmentioning

confidence: 99%

The validity of surgical clips as radiographic markers for the tumour resection cavity in head and neck cancer treatment

Bittermann

Voss

Duttenhoefer

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…6 Once the clip becomes embedded in the wall of the bile duct, the clip migration process will be enhanced by physical pressure exerted by intraabdominal organ movement. 7,8 We think clip migration is more common when LC is done for acute cholecystitis. Here the cystic duct was wide and edematous, making effective closure difficult with an Endoclip.…”

Section: Discussionmentioning

confidence: 99%

Endoclip Migration into the Common Bile Duct with Stone Formation: A Rare Complication after Laparoscopic Cholecystectomy

Ray

Bhattacharya²

2013

JSLS

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Surgical Clip Migration and Choledocholithiasis: A Late, Abrupt Complication of Laparoscopic Cholecystectomy

Cited by 13 publications

References 9 publications

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

Post-laparoscopic cholecystectomy Mirizzi syndrome induced by polymeric surgical clips: a case report and review of the literature

The validity of surgical clips as radiographic markers for the tumour resection cavity in head and neck cancer treatment

Endoclip Migration into the Common Bile Duct with Stone Formation: A Rare Complication after Laparoscopic Cholecystectomy

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