Surgical clip found in duodenal ulcer after laparoscopic cholecystectomy.
The wide use of surgical clips in laparoscopic surgery has led to a variety of complications. We describe two cases in which a surgical clip was incorporated into a duodenal ulcer after laparoscopic cholecystectomy. The presenting symptom was acute gastrointestinal bleeding. Both patients were treated endoscopically, and the bleeding stopped after the clip was removed from the ulcer base. Although the mechanism by which a surgical clip migrates into the duodenum is unclear, we recommend meticulous Calot's triangle dissection and removal of any wandering or misplaced clips. Endoscopic removal is recommended when a surgical clip is discovered in a bleeding ulcer.
Wasserberg
Nir
N
Department of Surgery B, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel. nirwg5@012.net.il
Gal
Eyal
E
Fuko
Zeev
Z
Niv
Yaron
Y
Lelcuk
Shlomo
S
Rubin
Moshe
M
D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D013525:Surgical Instruments / Q000009:adverse effects*; D016896:Treatment Outcome