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KMID : 0614620180720060313
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Korean Journal of Gastroenterology
2018 Volume.72 No. 6 p.313 ~ p.317
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Abdominal Pain Due to Hem-o-lok Clip Migration after Laparoscopic Cholecystectomy
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Rou Woo-Sun
Ju Jong-Seok
Kang Sun-Hyung
Moon Hee-Seok
Kim Seok-Hyun
Sung Jae-Kyu
Lee Byung-Seok
Lee Eaum-Seok
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Abstract
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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.
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KEYWORD
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Surgical instruments, Foreign-body migration, Cholecystectomy, Cholangiopancreatography, endoscopic retrograde
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