title: Sterile abdominal abscess resulting from remnant laparoscopic clips after sigmoidectomy: a case report and literature review.
abstract: The occurrence of intra-abdominal sterile abscesses due to remnant clips after laparoscopic sigmoidectomy is rare. Here, we report one such case in a 74-year-old woman. Two years after laparoscopic sigmoidectomy, abdominal CT indicated an area of fluid accumulation approximately 5 cm in diameter and located in the middle of the abdominal cavity that contained a cluster of clips. Fine-needle aspiration of the fluid was performed through the wall of the sigmoid colon. The luminal fluid was found not to contain cancer cells on histological examination. After 1 year, abdominal surgery was performed. The abscess was located in the mesorectum at the anastomosis site; it was incised and a significant quantity of ivory-white viscous solution containing a cluster of clips was extracted. This case emphasizes the importance of reducing the number of clips used in laparoscopic surgery.
authors.affiliation: Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Komori
authors.forename: Kenya
authors.initials: K
authors.lastname: Kimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Kinoshita
authors.forename: Seiji
authors.initials: S
authors.lastname: Ito
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Abe
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Senda
authors.forename: Kazunari
authors.initials: K
authors.lastname: Misawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ito
authors.forename: Norihisa
authors.initials: N
authors.lastname: Uemura
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kawai
authors.forename: Takaaki
authors.initials: T
authors.lastname: Osawa
authors.forename: Jiro
authors.initials: J
authors.lastname: Kawakami
authors.forename: Tomonari
authors.initials: T
authors.lastname: Asano
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Iwata
authors.forename: Shintaro
authors.initials: S
authors.lastname: Kurahashi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shimizu
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D003082:Colectomy / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000295:instrumentation*; D012811:Sigmoid Neoplasms / Q000601:surgery*; D013525:Surgical Instruments / Q000009:adverse effects
keywords: Abscess; clip; laparoscopic surgery