Stone Formation on the Migrated Hem-o-Lok Clip after Laparoscopic Pyelolithotomy
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Ahmet Camtosun 1 * , Can Ali Tatar 1
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1 Türkiye Yüksek İhtisas Education and Research Hospital, Department of Urology Sıhhıye, Ankara, Turkey
* Corresponding Author

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

https://doi.org/10.15197/ejgm.01408

EUR J GEN MED, 2015 - Volume 12 Issue 4, pp. 361-363

Publication date: 15 Oct 2015

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