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<p>Clip migration is a&#xa0;rare but serious complication following laparoscopic procedures. Only isolated case reports of clip migration after colon resections have been published to date. We report a&#xa0;case of migration of a&#xa0;polymer vascular ligature clip into the duodenum in a&#xa0;40-year-old, otherwise physically fit patient, who presented with acute abdomen 7&#xa0;months after undergoing laparoscopic right hemicolectomy for cecal cancer. Intraoperatively a&#xa0;clip was found in the duodenal lumen associated with anastomotic stump insufficiency and fistula formation into the duodenum, confirmed by CT scan showing a&#xa0;chronically inflamed intraabdominal cavity resembling an abscess. Nine days after emergency surgery the patient was discharged home and is currently in oncological and clinical remission.</p>

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Clip migration into the duodenum after laparoscopic oncological hemicolectomy—a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月30日

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  • I. Dornauer,
  • T. Jäger,
  • P. Schredl,
  • I. Mühlbacher,
  • K. Rokitte,
  • K. Emmanuel,
  • J. Holzinger,
  • F. Singhartinger,
  • J. M. Kern,
  • M. Lechner

摘要

Clip migration is a rare but serious complication following laparoscopic procedures. Only isolated case reports of clip migration after colon resections have been published to date. We report a case of migration of a polymer vascular ligature clip into the duodenum in a 40-year-old, otherwise physically fit patient, who presented with acute abdomen 7 months after undergoing laparoscopic right hemicolectomy for cecal cancer. Intraoperatively a clip was found in the duodenal lumen associated with anastomotic stump insufficiency and fistula formation into the duodenum, confirmed by CT scan showing a chronically inflamed intraabdominal cavity resembling an abscess. Nine days after emergency surgery the patient was discharged home and is currently in oncological and clinical remission.