title: Hem-o-Lok Clip in the First Part of Duodenum after Laparoscopic Cholecystectomy.
abstract: Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. We report a case with a complaint of severe abdominal pain for the previous 20 days. Her medical history was unremarkable except for laparoscopic cholecystectomy 8 months ago. In upper gastrointestinal endoscopy, two Hem-o-Lok clips at anterior wall of the first part of duodenum were detected. Therefore, the clip can migrate during postoperative period and Hem-o-Lok is not a very safe ligation method during laparoscopic cholecystectomy.
authors.affiliation: Golestan Research Center of Gastroenterology and Hepatology-GRCGH, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Seyyedmajidi
authors.forename: Seyed Ashkan
authors.initials: SA
authors.lastname: Hosseini
authors.forename: Shahin
authors.initials: S
authors.lastname: Hajiebrahimi
authors.forename: Jamshid
authors.initials: J
authors.lastname: Vafaeimanesh