Filshie clip migration with multiple groin hernias: a case report

Journal of Medical Case Reports
Alison Michelle Mumme, Jamie Cham

Abstract

Tubal occlusion is a common form of contraception. Filshie clips have been widely used for tubal occlusion since their introduction. Reports of Filshie clip migration are rare. We describe what we believe to be the first reported case of a patient with multiple groin hernias associated with migration of a Filshie clip. We report the case of 56-year-old Caucasian woman who presented with a tender right groin lump. She had undergone a right-sided inguinal hernia repair 3 years earlier. Tubal occlusion had been performed using Filshie clips 21 years prior. Computed tomography revealed a tubal clip within her right inguinal region, and had also been identified on imaging prior to a previous hernia repair. Our patient underwent repair of a right femoral hernia, with the tubal clip identified in the sac and removed. She has since had no recurrences. Filshie clip migration is a rare event, with occasional complications occurring. This case highlights the importance of identification and removal of such foreign bodies, potentially reducing the risk of hernia recurrence or further complications.

References

Mar 1, 1997·British Journal of Obstetrics and Gynaecology·G J Kesby, A R Korda
Aug 8, 1998·Journal of the Royal Army Medical Corps·J P GarnerJ G McAdam
Mar 30, 2000·American Journal of Obstetrics and Gynecology·A J Penfield
Apr 29, 2000·World Journal of Surgery·P R Lauwers, R H Van Hee
Dec 16, 2004·The Australian & New Zealand Journal of Obstetrics & Gynaecology·B L TanE H Tay
Oct 27, 2009·Journal of Biosocial Science·Edith Gray, Peter McDonald
Jan 1, 2009·BMJ Case Reports·Kai Yuen Wong, Paul V Tisi
Mar 3, 2012·African Journal of Paediatric Surgery : AJPS·Go MiyanoAtsuyuki Yamataka

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BETA
contraception

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