{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T12:46:50Z","timestamp":1780490810034,"version":"3.54.1"},"reference-count":17,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,7,7]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Surgical clip migration is a rare complication of laparoscopic cholecystectomy (LC). Surgical clips migrating into the common bile duct (CBD) can lead to stone formation and obstruction. Here, we report a case of acute cholangitis caused by surgical Hem-o-lok clip migration into the bile duct with stone formation 13 months after LC. A 65-year-old man who underwent LC presented with upper abdominal pain and fever for 3\u2009days. Abdominal CT scan showed a radiopaque material in the CBD, diffuse wall thickening and dilatation of intrahepatic and extrahepatic duct. Emergency percutaneous transhepatic biliary drainage was performed. Twodays later, an endoscopic retrograde cholangio-pancreatography was implemented, and muddy stones and one surgical clip were successfully removed by extraction balloon catheter.<\/jats:p>","DOI":"10.1136\/bcr-2019-230178","type":"journal-article","created":{"date-parts":[[2019,7,27]],"date-time":"2019-07-27T11:46:30Z","timestamp":1564227990000},"page":"e230178","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Common bile duct stone development due to a Hem-o-lok clip migration: a rare complication of laparoscopic cholecystectomy"],"prefix":"10.1136","volume":"12","author":[{"given":"Yong Jun","family":"Roh","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Whan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Joo","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Young","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,27]]},"reference":[{"key":"2025082723102163000_12.7.e230178.1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.7150\/ijms.4023","article-title":"Hem-o-lok clip found in common bile duct after laparoscopic cholecystectomy and common bile duct exploration: a clinical analysis of 8 cases","volume":"9","author":"Liu","year":"2012","journal-title":"Int J Med 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