The use of two proximal endoclips in securing the cystic duct is the most popular method during laparoscopic cholecystectomy(LC). Certain disadvantages of endoclips are well known, among them their ability to slip and migration. A 44-year-old man developed recurrent obstructive jaundice 15 months after LC. Review of serial plain abdominal films showed endoclips migration of endoclips, computed tomography and endoscopic retrograde cholangiography suggested endoclips and stones within the common bile duct. Laparotomy was performed due to failure of endoscopic removal and this revealed few CBD stones which had endoclips as a nidus. Endoclips could be migrated into the biliary tract and acts as a nidus for stone formation after LC. Clip migration can be diagnosed by carefully reviewing plain abdominal films and CT scans. ERCP confirms the diagnosis, and sphincterotomy with clip and stone removal is the therapeutic procedure of choice. Additional surgical procedures only rarely are required.

Keywords: Laparoscopic cholecystectomy, Endoclip, CBD stone