Extruded Filshie clip presenting as an ischiorectal abscess.
This report adds to the small, but significant, literature base describing late complications following laparoscopic sterilisation. In women with recalcitrant peri-anal sepsis (who have previously undergone a sterilisation procedure) the possibility of tubal clip migration should be borne in mind. This is also an important learning point from a medicolegal point of view as patients presenting with the sequelae of clip migration will need to be counselled, and possibly investigated, with respect to the efficacy of their sterilisation procedure.
Dua
R Sascha
RS
Department of Surgery, Southend University Hospital NHS Foundation Trust, Westcliff-on-Sea, Essex, UK. saschadua@hotmail.com
Dworkin
Michael J
MJ
D000038:Abscess / Q000209:etiology*; D000328:Adult; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D012003:Rectal Fistula / Q000209:etiology*; D012008:Recurrence; D013246:Sterilization, Tubal / Q000009:adverse effects*; D013525:Surgical Instruments