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Case report
Cholangitis caused by surgical clip migration into the common bile duct: a rare complication of a daily practice
  1. Daniel Sheffer1,
  2. Oren Gal2,
  3. Baruch Ovadia2 and
  4. Yael Kopelman2
  1. 1 General Surgery, Hillel Yaffe Medical Center, Hadera, Israel
  2. 2 Gastroenterology, Hillel Yaffe Medical Center, Hadera, Israel
  1. Correspondence to Professor Yael Kopelman; yaelk{at}


A 54-year-old female patient complained of right upper quadrant abdominal pain 11 years following a laparoscopic cholecystectomy. A CT scan demonstrated a collection in the surgical bed and a surgical clip in the proximal bile duct. Cholangitis developed a few days later. Another CT showed that the surgical clip migrated to the distal common bile duct. The clip was removed by endoscopic retrograde cholangiography and the cholangitis was resolved.

  • endoscopy
  • general surgery
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  • Contributors DS wrote the article. OG, BO and YK reviewed the article and were coauthors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

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

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