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CASE REPORT
Migration of clips to the colon after laparoscopic partial nephrectomy
  1. Peter Fisker Vedel,
  2. Hans-Erik Wittendorf,
  3. Thomas Peter Norus
  1. Urology Department, Sjællands Universitets Hospital, Roskilde, Denmark
  1. Correspondence to Dr Peter Fisker Vedel, petervvedel{at}gmail.com

Summary

A 78-year-old man was treated with laparoscopic partial nephrectomy for a 4 cm tumour in the lower pole of the left kidney. The patient was discharged 2 days postoperatively. Preoperatively there was no sign of metastasis; the pathology indicated complete removal of the tumour, a renal cell carcinoma. 53 days postoperatively the patient had acute onset of rectal bleeding. A colonoscopy revealed necrosis and three clips on the wall of the colon corresponding to where the descending colon passes over the left kidney. The patient was treated conservatively. Clip migration has been reported previously, but to our knowledge we present the first case of clip migration to the colon after laparoscopic partial nephrectomy. Suggestions to avoid the presented complication are made.

  • Urological cancer
  • Surgical oncology
  • Urological surgery

https://doi.org/10.1136/bcr-2016-219040

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    Footnotes

    • Contributors TPN and HEW were both responsible for the conception and design of the case. PFV contributed to the majority of the drafting and revising of the manuscript. We were all equally responsible with the analysis and interpretation of the case. We all approve the final manuscript and agree to be held accountable for the content and integrity of the work.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.