Abstract
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.
