Unusual complications caused by endo-clip migration following a laparoscopic cholecystectomy: report of a case.
We present herein the case of a woman who developed unexpected complications following a laparoscopic cholecystectomy. The clinical manifestations were unique in that symptoms of obstructive jaundice were in fact caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistent cholangitis. While the overall safety of this new procedure appears to be superior to that of open cholecystectomy, the risk of bile duct injury seems more likely. This case stresses the need for caution by surgeons, and emphasizes the necessity for careful surveillance and strict follow-up to ensure the safety of this procedure.
First Department of Surgery, Sapporo Medical University, School of Medicine, Japan.
T
T
Sato
R
R
Denno
Y
Y
Yuyama
T
T
Matsuura
Y
Y
Kanisawa
K
K
Hirata
D000328:Adult; D001658:Biliary Fistula / Q000209:etiology*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects* / Q000295:instrumentation; D002779:Cholestasis / Q000209:etiology*; D003137:Common Bile Duct Diseases / Q000209:etiology*; D004378:Duodenal Diseases / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*