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Korean J Gastroenterol  <  Volume 72(6); 2018 <  Articles

Korean J Gastroenterol 2018; 72(6): 313-317  https://doi.org/10.4166/kjg.2018.72.6.313
Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy
Woo Sun Rou, Jong Seok Joo, Sun Hyung Kang, Hee Seok Moon, Seok Hyun Kim, Jae Kyu Sung, Byung Seok Lee and Eaum Seok Lee
Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea
Correspondence to: Eaum Seok Lee, Department of Internal Medicine, Chungnam National University College of Medicine, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-280-7143, Fax: +82-42-257-5753, E-mail: leeusgi@cnuh.co.kr, ORCID: https://orcid.org/0000-0002-5689-9567
Received: June 17, 2018; Revised: August 24, 2018; Accepted: August 29, 2018; Published online: December 25, 2018.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
During laparoscopic cholecystectomy, a surgical clip is used to control the cystic duct and cystic artery. In the past, metallic clips were usually used, but over recent years, interest in the use of Hem-o-lok clips has increased. Surgical clip migration into the common bile duct (CBD) after laparoscopic cholecystectomy has rarely been reported and the majority of reported cases involved metallic clips. In this report, we describe the case of a 53-year-old woman who presented with abdominal pain caused by migration of a Hem-o-lok clip into the CBD. The patient had undergone laparoscopic cholecystectomy 10 months previously. Abdominal CT revealed an indistinct, minute, radiation-impermeable object in the distal CBD. The object was successfully removed by sphincterotomy via ERCP using a stone basket and was identified as a Hem-o-lok clip.
Keywords: Surgical instruments; Foreign-body migration; Cholecystectomy; Cholangiopancreatography, endoscopic retrograde


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