Stone Formation on the Migrated Hem-o-Lok Clip after Laparoscopic Pyelolithotomy
More details
Hide details
Türkiye Yüksek İhtisas Education and Research Hospital, Department of Urology Sıhhıye, Ankara, Turkey
Ahmet Camtosun   

Türkiye Yüksek İhtisas Hastanesi, Department of Urology Sıhhıye, Ankara, Turkey
Publication date: 2015-10-15
Eur J Gen Med 2015;12(4):361–363
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.