Clip migration into the duodenum after laparoscopic oncological hemicolectomy—a case report

Summary Clip migration is a rare but serious complication following laparoscopic procedures. Only isolated case reports of clip migration after colon resections have been published to date. We report a case of migration of a polymer vascular ligature clip into the duodenum in a 40-year-old, otherwise physically fit patient, who presented with acute abdomen 7 months after undergoing laparoscopic right hemicolectomy for cecal cancer. Intraoperatively a clip was found in the duodenal lumen associated with anastomotic stump insufficiency and fistula formation into the duodenum, confirmed by CT scan showing a chronically inflamed intraabdominal cavity resembling an abscess. Nine days after emergency surgery the patient was discharged home and is currently in oncological and clinical remission.