{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T06:48:42Z","timestamp":1782542922665,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Post-cholecystectomy clip migration is a rare but significant complication of laparoscopic cholecystectomy that can manifest years after the initial surgery. We report the case of a 53-year-old female who presented with chronic upper abdominal pain, nausea, and vomiting eight years following laparoscopic cholecystectomy. Laboratory investigations demonstrated markedly elevated liver enzyme levels, and imaging studies revealed a stone in the common bile duct. Endoscopic retrograde cholangiopancreatography identified a surgical clip embedded within the stone, serving as a nidus for stone formation. Successful treatment was achieved through biliary sphincterotomy and stone retrieval, resulting in complete symptomatic relief and normalization of liver function tests. This case highlights the importance of considering clip migration as a potential etiology in post-cholecystectomy patients presenting with unexplained biliary symptoms, even many years after the initial surgical procedure.<\/jats:p>","DOI":"10.1093\/jscr\/rjag004","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T12:23:29Z","timestamp":1767615809000},"source":"Crossref","is-referenced-by-count":0,"title":["Clip-choledocholithiasis: a case of migrated surgical clip causing choledocholithiasis"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4994-2093","authenticated-orcid":false,"given":"Hany","family":"Habib","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himsikhar","family":"Khataniar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandan","family":"Dash","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kojo-Frimpong B","family":"Awuah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena","family":"Mago","sequence":"additional","affiliation":[{"name":"Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijit","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology and Nutrition, Allegheny Health Network , 320 East North Avenue, Pittsburgh, PA 15212 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,1,25]]},"reference":[{"key":"2026062702311880000_ref1","first-page":"89","article-title":"The first laparoscopic cholecystectomy","volume":"5","author":"Reynolds","year":"2001","journal-title":"Jsls."},{"key":"2026062702311880000_ref2","journal-title":"Cochrane Database Syst Rev"},{"key":"2026062702311880000_ref3","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s13017-021-00369-w","article-title":"2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy","volume":"16","author":"de'Angelis","year":"2021","journal-title":"World J Emerg Surg"},{"key":"2026062702311880000_ref4","journal-title":"JSLS"},{"key":"2026062702311880000_ref5","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1089\/lap.1997.7.37","article-title":"Migration of metallic clips used during laparoscopic cholecystectomy and formation of gallstones around them: surgical implications from a prospective study","volume":"7","author":"Cetta","year":"1997","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2026062702311880000_ref6","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1001\/archsurg.1979.01370260104019","article-title":"Cholangitis with a silver lining","volume":"114","author":"Walker","year":"1979","journal-title":"Arch Surg"},{"key":"2026062702311880000_ref7","first-page":"8","article-title":"Common bile duct foreign body: an unusual case","volume":"2","author":"Onghena","year":"1992","journal-title":"Surg Laparosc Endosc"},{"key":"2026062702311880000_ref8","journal-title":"J Minim Access Surg"},{"key":"2026062702311880000_ref9","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/S0140-6736(95)91585-0","article-title":"Why do cystic duct clips migrate into the common bile duct?","volume":"346","author":"Kitamura","year":"1995","journal-title":"Lancet"},{"key":"2026062702311880000_ref10","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1007\/s11605-009-1131-0","article-title":"Biliary complications secondary to post-cholecystectomy clip migration: a review of 69 cases","volume":"14","author":"Chong","year":"2010","journal-title":"J Gastrointest Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjag004\/66569267\/rjag004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/1\/rjag004\/66569267\/rjag004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T06:31:24Z","timestamp":1782541884000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag004\/8440729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag004","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,12,24]]},"article-number":"rjag004"}}