Hansen K A, Wood R
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta.
Endoscopy. 1994 Mar;26(3):322-3. doi: 10.1055/s-2007-1008977.
Laparoscopic cholecystectomy is gaining increasing acceptance as a mode of minimally invasive surgery. We describe a peculiar gynecologic complication following uncomplicated laparoscopic cholecystectomy. Our patient presented with a four-month history of subacute pelvic pain, primarily located in the right lower quadrant, two years after laparoscopic cholecystectomy. Diagnostic laparoscopy revealed a hemaclip embedded in the right ovarian capsule of an otherwise normal pelvis. The hemaclip had probably dislodged from its original site of placement in the upper abdomen, and migrated to the dependent portions of the pelvis, where it implanted in a follicular stigma and became affixed to the ovarian capsule. The hemaclip was removed without complications, and the patient's symptoms improved.
腹腔镜胆囊切除术作为一种微创手术方式越来越被广泛接受。我们描述了一例单纯腹腔镜胆囊切除术后出现的特殊妇科并发症。我们的患者在腹腔镜胆囊切除术后两年出现了四个月的亚急性盆腔疼痛病史，主要位于右下腹。诊断性腹腔镜检查发现一个血管夹嵌入了原本正常的盆腔右侧卵巢包膜。该血管夹可能已从其在上腹部的原始放置位置脱落，并迁移至盆腔的下垂部位，在那里它植入卵泡瘢痕并附着于卵巢包膜。血管夹被顺利取出，患者症状改善。
