Postcholecystectomy Biliary Clip Migration Causing Acute Pancreatitis.

Authors :: Panara A
Barkin JA
Barkin JS
Source :: ACG case reports journal [ACG Case Rep J] 2019 Sep 11; Vol. 6 (9), pp. e00221. Date of Electronic Publication: 2019 Sep 11 (Print Publication: 2019).
Publication Year :: 2019
Abstract: Postcholecystectomy biliary clip migration is a rare but important cause of acute pancreatitis (AP). We report the case of a patient with laparoscopic cholecystectomy for cholelithiasis with cholecystitis and recurrent AP 15 and 19 months after. Imaging findings were suggestive of biliary clip migration. Suspected mechanisms for endoclip migration-induced AP include migration of the clip at a site of dehiscence and migration. When considering this diagnosis, a plain radiograph may be helpful as a comparison to previous imaging to assess for changes in the number of endoclips present, and proper diagnosis can help lead to appropriate management.<br /> (© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)