Upper GI Hemorrhage from Duodenal Ulcer due to Post-Cholecystectomy Clip Migration

Post cholecystectomy clip migration (pccm) is rare but a recognized complication following laparoscopic cholecystectomy. majority are related to stone formation in cbd. only a few case reports has been made so far where metallic clips were found to cause duodenal ulcer. we report a case who presented with upper gi bleeding weeks after laparoscopic cholecystectomy. endoscopic removal was attempted first. as all the clips could not be removed and patient continued to have problems, distal partial gastrectomy extending up to proximal duodenum and removal of all the clips were required for complete relief. lcer.