Migration of three endoclips following laparoscopic cholecystectomy
Ng, W.T.; Kong, C.K.; Lee, W.M.
Journal of the Royal College of Surgeons of Edinburgh 44(3): 200-202
1999
ISSN/ISBN: 0035-8835 PMID: 10372495 Document Number: 500027
We present a well-documented case report on migration of the haemostatic clip, along with the two clips that had originally been applied on the cystic duct, into the bile duct forming the nidus of a stone after laparoscopic cholecystectomy--a unique occurrence heretofore unreported. The English language literature on the subject is reviewed. The most likely predisposing factor is improper or erratic application of clips resulting in bile leakage, either subclinical or overt. Secure and correct placement of clips could help to prevent this complication.