Surgical Clip Found in Duodenal Ulcer after Laparoscopic Cholecystectomy

Nir Wasserberg, Eyal Gal, Zeev Fuko, Yaron Niv, Shlomo Lelcuk, Moshe Rubin

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


The wide use of surgical clips in laparoscopic surgery has led to a variety of complications. We describe two cases in which a surgical clip was incorporated into a duodenal ulcer after laparoscopic cholecystectomy. The presenting symptom was acute gastrointestinal bleeding. Both patients were treated endoscopically, and the bleeding stopped after the clip was removed from the ulcer base. Although the mechanism by which a surgical clip migrates into the duodenum is unclear, we recommend meticulous Calot's triangle dissection and removal of any wandering or misplaced clips. Endoscopic removal is recommended when a surgical clip is discovered in a bleeding ulcer.

Original languageEnglish
Pages (from-to)387-388
Number of pages2
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Issue number6
StatePublished - Dec 2003
Externally publishedYes


  • Duodenal ulcer
  • Laparoscopic cholecystectomy
  • Surgical clip


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