UNUSUAL COMPLICATIONS CAUSED BY ENDO-CLIP MIGRATION FOLLOWING A LAPAROSCOPIC CHOLECYSTECTOMY - REPORT OF A CASE

We present herein the case of a woman who developed unexpected complic ations following a laparoscopic cholecystectomy. The clinical manifest ations were unique in that symptoms of obstructive jaundice were in fa ct caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistant c holangitis. While the overall safety of this new procedure appears to be superior to that of open cholecystectomy, the risk of bile duct inj ury seems more likely. This case stresses the need for caution by surg eons, and emphasizes the necessity for careful surveillance and strict follow-up to ensure the safety of this procedure.