Trouble from the abdominal cavity: an unusual foreign body secondary to laparoscopic cholecystectomy.

Trouble from the abdominal cavity: an unusual foreign body secondary to laparoscopic cholecystectomy. Rev Esp Enferm Dig. 2020 Nov 24;: Authors: Su X, Wang Z, Wang D Abstract A 41-year-old man presented to our hospital with a history of intermittent upper abdominal pain for several months. The patient had a significant surgical history of laparoscopic cholecystectomy (LC) at 1 year before. Gastroscopy revealed a foreign body penetrating the duodenal bulb wall, which resulted in chronic inflammatory changes in the surrounding tissues. Abdominal computed tomography (CT) examination revealed a 2-cm hyper-dense linear object embedded within the duodenal wall. It seemed to be a chronic perforation without significant free air or peritonitis. Given the location of the foreign body and the patient's strong will for less invasion, endoscopic removal was thought to be the optimal approach. Finally, the foreign body was successfully removed with forceps, which was proved to be the polymer clip (hem-o-lok) commonly used during laparoscopic surgery. Moreover, the site of perforation was closed with an endoscopic hemostatic clip to avoid further complications, such as bleeding and choledochoduodenal fistula. The symptoms in this patient were relieved postoperatively. PMID: 33228365 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research