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Abstract
Although there are advantages of using Hem-o-lok clips in laparoscopic surgery, sometimes they can be the cause of the complication itself. Migration of Hem-o-Lok clips into the collecting system is a rare but a troublesome complication. We present a case of ureteropelvic junction (UP-J) migration of a Hem-o-lok clip after laparoscopic pyelolithotomy. In this case, the clip acts as a nidus for subsequent stone formation leading to a misdiagnosis as an UP-J obstructing stone. Finally it was managed with a rigid ureterorenoscopic approach. We concluded that, unless necessary, the use of Hem-o-lock clips should be avoided around the collecting system. In used cases we should be sure to place the clip a bit far away from the violated collecting system area in a tension free fashion.
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Type: Case Report
EUR J GEN MED, Volume 12, Issue 4, October 2015, 361-363
https://doi.org/10.15197/ejgm.01408
Publication date: 15 Oct 2015
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