Korean J Pancreas Biliary Tract.  2021 Jul;26(3):195-199. 10.15279/kpba.2021.26.3.195.

Recurrent Cholangitis due to Hem-o-lok Clip Migration after Laparoscopic Common Bile Duct Exploration Treated with Endoscopic Retrograde Cholangiopancreatography

Affiliations
  • 1Department of Gastroenterology, Eulji University College of Medicine, Daejeon, Korea
  • 2Department of Gastroenterology, Pyeongtaek St. Mary's Hospital, Pyeongtaek, Korea
  • 3Department of Surgery, Eulji University College of Medicine, Daejeon; Korea

Abstract

Clip migration into the common bile duct (CBD) is a rare complication of laparoscopic biliary surgery. We report a case of Hem-o-lok clip migration-induced CBD stone in a 66-year-old man who underwent laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) 4 years ago. The patient visited the emergency room for upper abdominal pain. CT scan revealed increased CBD diameter and multiple CBD stones. We performed endoscopic retrograde cholangiopancreatography for CBD stone extraction. Cholangiography revealed multiple suspected filling defects in the CBD; stones and unknown foreign body were removed using Basket. The foreign body found in the duodenum was a Hem-o-lok clip. When epigastric pain develops in a patient who has undergone LC and LCBDE, it is possible that biliary stone occurs due to clip migration.

Keyword

Hem-o-lok 클립; 클립 이동; 복강경 총담관탐색술; 내시경역행담췌관조영술; Hem-o-lok clips; Clip migration; Laparoscopic common bile duct exploration; Cholangiopancreatography, endoscopic retrograde
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