Edição 2019

An unsuspicious duodenal foreign body

Mónica Garrido, Ricardo Marcos-Pinto, Marta Rocha, Marta Salgado, Anabela Rocha, Isabel Pedroto

Centro Hospitalar do Porto

A 56-years-old woman with Peutz-Jeghers syndrome, submitted to a laparoscopic right hemicolectomy for colon adenocarcinoma nineteen months earlier, presented for elective single-balloon antegrade enteroscopy to remove a jejunal polyp. During duodenal intubation, a foreign body was found wedged on the wall of the second portion of duodenum, successfully pulled off with grasping forceps.

Observing in detail, the foreign body was a plastic-looking clip. Reviewing surgical notes, Hem-o-lock® clips were used for ileocolonic vessel ligation. The Hem-o-lock® clip is a non-absorbable polymer-locking clip, frequently used during laparoscopic procedures. Only a few case reports of duodenal Hem-o-lock® clips migration have been reported.