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Case Reports
. 2018 Jun;46(6):2458-2460.
doi: 10.1177/0300060518760714. Epub 2018 Mar 26.

Migration of metal clips into the duodenum after laparoscopic cholecystectomy: A report of two cases

Gang-Hong Chen  1 , Tie-Ming Zhu  1 , Xiu-Li Xu  1 , Ke-Xiang Jiang  1
Affiliations
Case Reports

Migration of metal clips into the duodenum after laparoscopic cholecystectomy: A report of two cases

Gang-Hong Chen et al. J Int Med Res. 2018 Jun.

Abstract

Migration of metal clips into the duodenum after laparoscopic cholecystectomy is rare. We herein present two cases of migration of metal clips into the duodenum in patients who developed upper quadrant discomfort and a poor appetite after laparoscopic cholecystectomy. Gastroscopy revealed metal clips in the duodenum. In one patient, the clip dropped from the duodenum after 2 months; the other patient went to another institution to undergo duodenotomy. The mechanism underlying migration of a metal clip into the duodenum remains unclear but might be related to chronic inflammation and duodenal peristalsis. In conclusion, clinicians must remember that metal clips can migrate after laparoscopic cholecystectomy and later cause complications.

Keywords: Laparoscopic cholecystectomy; case report; duodenotomy; duodenum; metal clip; migrate.

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Figures

Figure 1.
Figure 1.
Gastroscopy showing a closed metal clip in the duodenum. The tail of the clip is visible.
Figure 2.
Figure 2.
Gastroscopy showing two metal clips in the duodenum.
See this image and copyright information in PMC

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