{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:47:52Z","timestamp":1782863272863,"version":"3.54.5"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,2,26]]},"abstract":"<jats:p>Non-absorbable Hem-o-Lok clips are commonly used for vascular pedicle control or suture stabilisation during laparoscopic or robotic reconstructive procedures. As they are placed close to suture line and with tension, these clips have a propensity to migrate. We report a case of a 22-year-old man with history of bilateral robotic pyeloplasty presenting with left inferior calyceal stone. He underwent left mini percutaneous nephrolithotomy which revealed an encrusted migrated Hem-o-Lok clip that was used to close the mesenteric window formed during transmesocolic pyeloplasty. Thus, these clips should be used sparingly and only at places where other effective alternatives are unavailable.<\/jats:p>","DOI":"10.1136\/bcr-2017-219374","type":"journal-article","created":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T15:20:26Z","timestamp":1489418426000},"page":"bcr2017219374","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Unusual cause of renal stone following robotic pyeloplasty"],"prefix":"10.1136","volume":"2017","author":[{"given":"Siddharth","family":"Yadav","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhjot","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brusabhanu","family":"Nayak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem Nath","family":"Dogra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,3,13]]},"reference":[{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.1","doi-asserted-by":"crossref","first-page":"242","DOI":"10.5301\/uro.5000106","article-title":"Endourethral migration of a Hem-o-Lok clip after robot-assisted laparoscopic radical prostatectomy","volume":"82","author":"Bientinesi","year":"2015","journal-title":"Urologia"},{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.11.105"},{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.3","doi-asserted-by":"crossref","first-page":"90","DOI":"10.5213\/inj.2013.17.2.90","article-title":"Migration of a Hem-o-Lok clip to the ureter following laparoscopic partial nephrectomy presenting with lower urinary tract symptoms","volume":"17","author":"Park","year":"2013","journal-title":"Int Neurourol J"},{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.4","first-page":"153","article-title":"Spontaneous migration of a surgical clip following partial nephrectomy","volume":"8","author":"Massoud","year":"2011","journal-title":"Urol J"},{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.5","first-page":"361","article-title":"Stone formation on the migrated Hem-o-Lok clip after laparoscopic pyelolithotomy","volume":"12","author":"Camtosun","year":"2015","journal-title":"Eur J Gen Med"},{"key":"2025042705381319000_2017.mar13_1.bcr2017219374.6","doi-asserted-by":"crossref","first-page":"263","DOI":"10.4103\/0970-1591.128499","article-title":"Prospective randomized study to evaluate the feasibility and outcome of transmesocolic laparoscopic pyeloplasty and compare it with retrocolic laparoscopic pyeloplasty in pediatric and adolescent patients","volume":"30","author":"Singh","year":"2014","journal-title":"Indian J Urol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:38:23Z","timestamp":1745757503000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,13]]},"references-count":6,"alternative-id":["10.1136\/bcr-2017-219374"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219374","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,13]]}}}