EC Clinical and Medical Case Reports

Surgical clip migration into the common bile duct, leading to stone formation, is a rare but recognized complication of cholecystectomy. We present the case of a 45-year-old woman who underwent laparoscopic cholecystectomy in 2018 and experienced epigastric pain and cholestatic jaundice one month prior to admission, as a result of a cholangitis caused by migration of a post-cholecystectomy clip.

 Keywords: Surgical Clip Migration; Cholecystectomy; Endoscopic Retrograde Cholangiopancreatography (ERCP)

1. Ellison E., et al. “Cholecystectomy, cholecystostomy, and intraoperative evaluation of the biliary tree”. Mastery of Surgery 4^th edition Philadelphia: Lippincott Williams & Wilkins (2001).
2. Ghavidel A. “Migration of clips after laparoscopic cholecystectomy a case report and literature review”. Middle East Journal of Digestive Diseases1 (2015): 45.
3. Beadle MA., et al. “Metallic clip migration and primary common duct stone formation after subtotal cholecystectomy” (2023).
4. Chong VH and Chong CF. “Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases”. Journal of Gastrointestinal Surgery4 (2010): 688‑696.
5. Wu WC., et al. “Endoscopic management of common bile duct stones resulting from metallic surgical clips (cat’s eye calculi)”. Gastrointestinal Endoscopy5 (1993): 712‑715.
6. Sajith K., et al. “Tombstone of surgical clip in common bile duct”. Tropical Gastroenterology1 (2012): 67‑69.
7. Raoul JL., et al. “Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy treated by endoscopic biliary sphincterotomy”. Gastrointestinal Endoscopy5 (1992): 608‑611.
8. Matsuura T., et al. “Migration of “endo-clips” into common bile duct after laparoscopic cholecystectomy”. The Lancet8814 (1992): 306.