Recurrent abdominal abscess secondary to a dropped laparoscopic clip: CT imaging

Abstract

Since being introduced in 1987, laparoscopic cholecystectomy has quickly become the treatment of choice for symptomatic gallstone disease. Computed tomography is an excellent method to evaluate the laparoscopic patient in whom postoperative complication is suspected.

Comparison of Intracorporeal Knot-tying Suture (Polyglactin) and Titanium Endoclips in Laparoscopic Appendiceal Stump Closure

“…There are no reports about abscess formation after appendectomy with endoclips; however, a few case reports of abscess formation associated with dropped metallic surgical clips after laparoscopic cholecystectomy have been reported, none of which has specified whether the clip was titanium. 28,29 Singh et al 30 reported an important study of 26 cases in which surgical metal clips were dropped during cholecystectomy, and none was associated with increased risk of abscess. They pointed out that dropped gallstones, rather than dropped metal clips, was the main cause of abscess formation in their study.…”

Comparative Study between Clipless Laparoscopic Cholecystectomy by Harmonic Scalpel Versus Conventional Method: A Prospective Randomized Study

“…[25][26][27][28][29][30] The above-mentioned hazards inherent in the use of metallic clips were not encountered when closure and division of the cystic duct was achieved with the harmonic shears.…”

Clipless Laparoscopic Cholecystectomy by Ultrasonic Dissection

“…21 However, the literature provides various examples of cystic-duct leakage due to inadequate closure of the duct due to mismatch of the clip arms, necrosis of the duct at the site of clipping, or slippage of the clips off the end of the duct and migration into the biliary tract. 10,11,[23][24][25] Further, in the process of application, the metallic clips can fall from the applicator. 26 The above-mentioned hazards inherent in the use of metallic clips were not encountered when closure and division of the cystic duct was achieved with the harmonic shears.…”