Laparoscopic Removal of Retained Artery Forceps Causing Internal Hernia

rarer. Retained artery forceps remain inert and induce their effects through mechanical means giving rise to pressure effects resulting in abdominal pain or direct tissue/viscous injury leading to tissue strangulation or perforation of viscous leading to for example peritonitis or vascular injury resulting in hemorrhage [1]. The clinical presentation of retained intra-abdominal foreign material may be acute or delayed [6, 7]. Such patient present in the surgical units with increasing abdominal pain, abdominal mass, discharging sinus, intra-abdominal abscesses and acute or subacute intestinal obstruction. Whilst many patients will present within days or few weeks after the initial surgery and have a relaprotomy for retrieval of the foreign body, some patients with intra-abdominal foreign material may go unnoticed for years or even decades. However many of this subset of patients will have chronic abdominal symptoms such as abdominal pain or discomfort. The pre-operative diagnosis is based on high index of suspicion. The pre-operative diagnosis is based on history, clinical examination, plain abdominal radiographs, ultrasound, CT and MRI scans [1]. Management of retained material should be surgical through exploration and save removal. Laparoscopic exploration and removal was not published before for artery forceps. We present a case of retained artery forceps during laprotomy for uterine mass and hernia repair which was managed successful by laparoscopy.