AI Article Synopsis
- A rare case of an intra-abdominal sterile abscess due to remnant clips was reported in a 74-year-old woman following laparoscopic sigmoidectomy two years prior.
- Imaging revealed a fluid accumulation with clips, prompting a fine-needle aspiration that showed no cancer cells.
- Ultimately, abdominal surgery was performed to address the abscess, highlighting the need to minimize the use of clips during laparoscopic procedures.
Article Abstract
The occurrence of intra-abdominal sterile abscesses due to remnant clips after laparoscopic sigmoidectomy is rare. Here, we report one such case in a 74-year-old woman. Two years after laparoscopic sigmoidectomy, abdominal CT indicated an area of fluid accumulation approximately 5 cm in diameter and located in the middle of the abdominal cavity that contained a cluster of clips. Fine-needle aspiration of the fluid was performed through the wall of the sigmoid colon. The luminal fluid was found not to contain cancer cells on histological examination. After 1 year, abdominal surgery was performed. The abscess was located in the mesorectum at the anastomosis site; it was incised and a significant quantity of ivory-white viscous solution containing a cluster of clips was extracted. This case emphasizes the importance of reducing the number of clips used in laparoscopic surgery.
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| http://dx.doi.org/10.1111/ases.12112 | DOI Listing |
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