{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:17:20Z","timestamp":1756383440126,"version":"3.44.0"},"reference-count":26,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,4,11]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Post-cholecystectomy clip migration (PCCM) is a rare but recognised complication that can occur early or years after surgery. Given its potential to cause biliary obstruction, PCCM should be considered in the differential diagnosis of post-cholecystectomy patients presenting with obstructive biliopathy or cholangitis. Imaging, particularly contrast-enhanced CT (CECT) or magnetic resonance cholangiopancreatography, is crucial for diagnosis, while endoscopic retrograde cholangiopancreatography (ERCP) is the gold-standard modality for diagnosis and treatment.<\/jats:p>\n               <jats:p>We report a case of a male patient in his early 40s presenting with a history of fever, abdominal pain and jaundice for 10 days. CECT abdomen revealed a migrated cholecystectomy clip lodged in the common bile duct (CBD), leading to biliary obstruction. The patient was successfully treated with ERCP-guided clip removal, resulting in symptom resolution. This case highlights the need for early recognition of PCCM and the role of ERCP in its effective management.<\/jats:p>","DOI":"10.1136\/bcr-2025-265485","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T23:05:12Z","timestamp":1745449512000},"page":"e265485","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Obstructive biliopathy with acute cholangitis secondary to post-cholecystectomy clip migration: a rare complication managed with ERCP"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0654-3116","authenticated-orcid":false,"given":"Navdeep","family":"Kaur","sequence":"first","affiliation":[{"name":"Radiodiagnosis, AIIMS Bathinda, Bathinda, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amandeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"General Medicine, AIIMS Bathinda, Bathinda, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manmeet","family":"Singh","sequence":"additional","affiliation":[{"name":"Punjab Civil Medical Services, Moga, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaspreet Singh","family":"Shergill","sequence":"additional","affiliation":[{"name":"General Surgery, All India Institute of Medical Sciences Bathinda, Bathinda, PB, 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