Volvulus with bowel necrosis after laparoscopic appendectomy. Migration of Clip?

Journal of Surgical Case Reports
Diganta KakatyRoland Zengaffinen

Abstract

About 2.8% of patients develop small bowel obstruction, mostly following an open approach appendectomy. we present an 18-year-old girl with acute abdomen 10 days following laparoscopic appendectomy. An emergency laparotomy was performed which revealed bowel necrosis and an impacted slipped clip on the mesenterial side of the bowel with signs of bowel strangulation and necrosis. Bowel resection was carried out with primary enteroenteric anastomosis. We suspect the sharp ends of the open clip allowed it to become lodged in the bowel segment resulting in bowel obstruction and subsequent necrosis. It is possible that the clip migrated or was a failed deployment. To our knowledge, this is the first report of mechanical bowel obstruction after laparoscopic appendectomy caused by aberrant surgical clip.

References

Jun 6, 2002·Clinical Obstetrics and Gynecology·Javier F Magrina
Jul 2, 2003·Annals of Surgery·Julie A MargenthalerShukri F Khuri
Jun 30, 2009·Annals of Surgery·Terry T W LeungAnthony R MacLean
Jun 10, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Marc Neff, Brian Schmidt

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Citations

Apr 28, 2021·Revista de gastroenterología de México·M González-UrquijoA Leyva-Alvizo
Aug 16, 2021·Revista De Gastroenterología De México·M González-UrquijoA Leyva-Alvizo

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