Abstract
Introduction: The migration of laparoscopic staple with complications such as duodenal ulcer is a rare postcolecystectomy complication. Complication that can occur at any time, but usually 2 years post cholecystectomy. In this report, a case of complicated duodenal ulcer that occurred 1 year after laparoscopic cholecystectomy is reviewed. Case Presentation: 42-year-old male, with bleeding from non-variceal upper gastrointestinal tract and severe epigastric pain. Surgical history of laparoscopic cholecystectomy CT scan: Plastron complex in vascular bed topography. The patient is scheduled for emergency surgery, laparotomy is performed with the following Findings: lax adhesions of the colon and liver, and omentum to the liver, firm adhesion of the first duodenal portion to the liver bed, with a 3 * 3 cm hematoma in said area that when opening its capsule, mucous duodenal evidence in said region with laparoscopic clips included in the tissue. Procedure performed Billroth II Histopathological report: duodenal ulcer, negative for neoplasia, viable surgical resection edges. follow-up without complications. Discussion: Cholelithiasis is common and laparoscopic cholecystectomy is the treatment of choice. Being one of the most performed surgeries since its introduction, surgical hemostatic clips have been widely used and are generally considered safe. Despite the increasing number of annual cholecystectomies performed, postcolecystectomy clip migration (PCCM) remains rare. Apart from migration to the biliary tree, is the cause of other complications such as duodenal ulcer or clip embolism. Conclusion: Complications such as duodenal ulcer of clips should always be present in patients with abdominal pathology and a history of recent cholecystectomy.
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