Migration of Hem-O-Lok clip to the fallopian tube after laparoscopic appendectomy: A case report

Feng, Ting-Yuan; Jan, Hsiang-Chun; Chou, Shang‐Shing P.; Wang, Shengchun

doi:10.1016/j.asjsur.2021.08.043

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Seu uso é voltado principalmente para o clampeamento de estruturas vasculares, de vias biliares e na confecção de anastomoses. A migração destes clipes para o trato urinário, vias biliares(2,3,4,5) e outros locais incluindo trato digestivo, como duodeno e esôfago(1,6), após os procedimentos minimamente invasivos é conhecida e relatada na literatura.…”

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Migração de clipe “Hem-o-lok” após esofagectomia e reconstrução digestiva com tubo gástrico: relato de complicação pós-operatória rara / Hem-o-lok" clip migration after esophagectomy and gastric tube reconstruction: report of a rare postoperative complication

Drumond¹,

Campinho²,

Campanati³

et al. 2022

Braz. J. Hea. Rev.

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RESUMOClipes de hemostasia, como o "Hem-o-lok", são utilizados em operações laparoscópicas, para ligadura de vasos e ductos. Eles apresentam vasta aplicabilidade e sua migração no pósoperatório é raramente observada. Relata-se caso de paciente do sexo masculino, 64 anos, tabagista, submetido à radioquimioterapia, seguida de esofagectomia subtotal com reconstrução com tubo gástrico, no tratamento de carcinoma de células escamosas. Dois anos após cirurgia, paciente retornou com odinofagia e sensação de corpo estranho no esôfago. Endoscopia digestiva alta foi o método que diagnosticou a presença do clipe "Hem-o-lok", utilizado no procedimento cirúrgico prévio. A retirada do clipe foi exitosa, sem complicações.

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Migração de clipe “Hem-o-lok” após esofagectomia e reconstrução digestiva com tubo gástrico: relato de complicação pós-operatória rara / Hem-o-lok" clip migration after esophagectomy and gastric tube reconstruction: report of a rare postoperative complication

Drumond¹,

Campinho²,

Campanati³

et al. 2022

Braz. J. Hea. Rev.

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Hem-o-lok clip migration to duodenal bulb post-cholecystectomy: A case report

Liu,

Yin,

Wei

2024

World J Gastrointest Surg

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BACKGROUND Hem-o-lok clips are typically used to control the cystic duct and vessels during laparoscopic cholecystectomy (LC) and common bile duct exploration for stones in the bile duct and gallbladder. Here, we report a unique example of Hem-o-lok clip movement towards the duodenal bulb after LC, appearing as a submucosal tumor (SMT). Additionally, we provide initial evidence of gradual and evolving endoscopic manifestations of Hem-o-lok clip migration to the duodenal bulb wall and review the available literature. CASE SUMMARY A 72-year-old man underwent LC for gallstones, and Hem-o-lok clips were used to ligate both the cystic duct and cystic artery. Esophagogastroduodenoscopy (EGD) 2 years later revealed an SMT-like lesion in the duodenal bulb. Due to the symptomatology, the clinical examination did not reveal any major abnormalities, and the patient was followed up as an outpatient. A repeat EGD performed 5 months later revealed an SMT-like lesion in the duodenal bulb with raised edges and a central depression. A third EGD was conducted, during which a Hem-o-lok clip was discovered connected to the front side of the duodenum. The clip was extracted easily using biopsy forceps, and no complications occurred. Two months after the fourth EGD, the scar was surrounded by normal mucosa. CONCLUSION Clinicians should be aware of potential post-LC complications. Hem-o-lok clips should be removed if symptomatic.

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Migration of Hem-O-Lok clip to the fallopian tube after laparoscopic appendectomy: A case report

Cited by 2 publications

References 2 publications

Migração de clipe “Hem-o-lok” após esofagectomia e reconstrução digestiva com tubo gástrico: relato de complicação pós-operatória rara / Hem-o-lok" clip migration after esophagectomy and gastric tube reconstruction: report of a rare postoperative complication

Migração de clipe “Hem-o-lok” após esofagectomia e reconstrução digestiva com tubo gástrico: relato de complicação pós-operatória rara / Hem-o-lok" clip migration after esophagectomy and gastric tube reconstruction: report of a rare postoperative complication

Hem-o-lok clip migration to duodenal bulb post-cholecystectomy: A case report

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