title: Migration of three endoclips following laparoscopic cholecystectomy.
abstract: 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.
authors.affiliation: Department of Surgery, Yan Chai Hospital, Tsuen Wan, Hong Kong.
authors.forename: W T
authors.initials: WT
authors.lastname: Ng
authors.forename: C K
authors.initials: CK
authors.lastname: Kong
authors.forename: W M
authors.initials: WM
authors.lastname: Lee
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005547:Foreign Bodies; D005548:Foreign-Body Migration; D006801:Humans; D019300:Medical Errors; D008875:Middle Aged; D011183:Postoperative Complications; D013525:Surgical Instruments