Migrating of Filshie clips.

J Obstet Gynaecol

Published: November 2004

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http://dx.doi.org/10.1080/01443610400019153DOI Listing

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Article Synopsis
  • - A 66-year-old female developed a lump under her skin, which turned out to be a sterilisation clip that migrated from a procedure she had 24 years prior.
  • - The patient was referred to the Surgical Emergency Unit after noticing pain and tenderness around the lump, which was confirmed via ultrasound to be a foreign body.
  • - This case highlights the rare occurrence of sterilisation clip migration, suggesting that healthcare providers should be alert to the possibility, especially in patients with prior sterilisation and no recent trauma.
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BACKGROUND There is growing evidence suggesting that Filshie clip migration is a rare but significant late complication following tubal sterilization. Although most women are asymptomatic, clip migration can result in serious morbidity such as abscess formation and be a source of sepsis years later. CASE REPORT A 51-year-old woman presented with 2-week history of worsening right flank pain with fever and chills, unresponsive to oral antibiotics.

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Tubal ligation (TL) is an effective and common method of fertility control. In the year 2009, over 24,000 were performed in Canada alone. Migration of Filshie clips used during TL is estimated to occur in 25% of all patients; 0.

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