title: [Free intraperitoneal clip as the cause of mechanical ileus of the small intestine].
abstract: In the last 10 years the use of mechanical stapling devices in endoscopic surgery have found wide-spread application and acceptance. Even one of the most common surgical operations, the appendectomy, is done regularly laparoscopically. Therefore, utilization of endostaples is commonplace and often results in the spillage of fired staples beyond the margin tissue. We report the case of a 23-year-old patient who developed the clinical signs of bowel obstruction 2 weeks after laparoscopical appendectomy. An exploratory laparotomy was subsequently performed. At the time of exploration, a single band was identified that draped over the ilium central affixed to a staple. The staple was removed and the obstruction relieved without bowel resection. The patient had an uncomplicated recovery. We believe that the cause of this mechanical bowel obstruction was a loose staple.
authors.affiliation: Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen.
authors.forename: M
authors.initials: M
authors.lastname: Lörken
authors.forename: U
authors.initials: U
authors.lastname: Marnitz
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: D000328:Adult; D001062:Appendectomy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D007415:Intestinal Obstruction / Q000601:surgery*; D010535:Laparoscopy; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013525:Surgical Instruments; D013528:Surgical Staplers; D000267:Tissue Adhesions / Q000601:surgery