Obstructive biliopathy with acute cholangitis secondary to post-cholecystectomy clip migration: a rare complication managed with ERCP.

Post-cholecystectomy clip migration (PCCM) is a rare but recognised complication that can occur early or years after surgery. Given its potential to cause biliary obstruction, PCCM should be considered in the differential diagnosis of post-cholecystectomy patients presenting with obstructive biliopathy or cholangitis. Imaging, particularly contrast-enhanced CT (CECT) or magnetic resonance cholangiopancreatography, is crucial for diagnosis, while endoscopic retrograde cholangiopancreatography (ERCP) is the gold-standard modality for diagnosis and treatment.We report a case of a male patient in his early 40s presenting with a history of fever, abdominal pain and jaundice for 10 days. CECT abdomen revealed a migrated cholecystectomy clip lodged in the common bile duct (CBD), leading to biliary obstruction. The patient was successfully treated with ERCP-guided clip removal, resulting in symptom resolution. This case highlights the need for early recognition of PCCM and the role of ERCP in its effective management.