{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T10:45:55Z","timestamp":1746009955551,"version":"3.37.3"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The incidence of sterilisation clip migration is reportedly 25%. However, less than 1% of those who experience clip migration will present with pain, an abscess, or spontaneous extrusion. Here we present a rare case of sterilisation clip migration through the entire pelvic floor.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 66-year-old female was referred from community to the Surgical Emergency Unit with a possible metallic foreign body under the skin following an attempted routine gluteal cyst excision. The patient first noticed a lump under the skin 2 years ago which gradually became more apparent and tender over the previous 2 months. The patient denied recent trauma, had no co-morbidities and had a sterilisation procedure 24 years prior. Examination revealed a non-mobile solid structure just beneath the skin 5\u00a0cm laterally from the anal verge. Inflammatory markers were normal and an ultrasound confirmed a 15\u2009\u00d7\u20097\u00a0mm foreign body in the subcutaneous tissues. The foreign body was excised easily under local anaesthesia, revealing a closed Filshie sterilisation clip. The wound was closed primarily, and recovery was uncomplicated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This was a case of sterilisation clip migration to the subcutaneous gluteal region. A literature review revealed 34 case reports of sterilisation clip migration, mostly to the bladder. Patients with a previous sterilisation procedure and suspected subcutaneous foreign body without trauma should elicit a high index of suspicion for migrated sterilisation clips. These clips can migrate through multiple layers of muscle and fascia, including the pelvic floor.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01937-3","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T07:01:42Z","timestamp":1718175702000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Migrated tubal sterilisation clip presenting as a subcutaneous gluteal foreign body 24 years later: a case report and literature review"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9525-127X","authenticated-orcid":false,"given":"Adil S.","family":"Lakha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Ang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarmad Mohammed","family":"Salih","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"1937_CR1","first-page":"4809859","volume":"2020","author":"S Sharma","year":"2020","unstructured":"Sharma S, Martyniak R, Khokhotva V. 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Ned Tijdschr Geneeskd. 1991;135(6):233\u20135.","journal-title":"Ned Tijdschr Geneeskd"},{"issue":"6","key":"1937_CR20","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1111\/j.1479-828X.2004.00295.x","volume":"44","author":"BL Tan","year":"2004","unstructured":"Tan BL, Chong C, Tay EH. Migrating Filshie clip. Aust N Z J Obstet Gynaecol. 2004;44(6):583\u20134.","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"3","key":"1937_CR21","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1783\/147118906777888530","volume":"32","author":"E Kalu","year":"2006","unstructured":"Kalu E, Croucher C, Chandra R. Migrating Filshie clip: an unmentioned complication of female sterilisation. 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