Evidence map›Paper›PMID 41589196›Full record

ArticleJournal of surgical case reports2026

Clip-choledocholithiasis: a case of migrated surgical clip causing choledocholithiasis.

Hany Habib, Himsikhar Khataniar, Chandan Dash, Kojo-Frimpong B Awuah, Sheena Mago, Abhijit Kulkarni

Erratum issuedAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Hany HabibDepartment of Internal Medicine, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.ORCID https://orcid.org/0000-0003-4994-2093
Himsikhar KhataniarDepartment of Internal Medicine, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.
Chandan DashDepartment of Internal Medicine, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.
Kojo-Frimpong B AwuahDepartment of Internal Medicine, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.
Sheena MagoAllegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.
Abhijit KulkarniDivision of Gastroenterology, Hepatology and Nutrition, Allegheny Health Network, 320 East North Avenue, Pittsburgh, PA 15212, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-cholecystectomy clip migration is a rare but significant complication of laparoscopic cholecystectomy that can manifest years after the initial surgery. We report the case of a 56-year-old female who presented with chronic upper abdominal pain, nausea, and vomiting eight years following laparoscopic cholecystectomy. Laboratory investigations demonstrated markedly elevated liver enzyme levels, and imaging studies revealed a stone in the common bile duct. Endoscopic retrograde cholangiopancreatography identified a surgical clip embedded within the stone, serving as a nidus for stone formation. Successful treatment was achieved through biliary sphincterotomy and stone retrieval, resulting in complete symptomatic relief and normalization of liver function tests. This case highlights the importance of considering clip migration as a potential etiology in post-cholecystectomy patients presenting with unexplained biliary symptoms, even many years after the initial surgical procedure.

Indexed as

choledocholithiasisendoscopic retrograde cholangiopancreatographyliver enzymespost-cholecystectomy clip migration

Identifiers

PMID41589196
PMCPMC12832049

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.