Migration of Over-the-scope Clip Resulting in Anal Pain and Obstructed Defecation

Sameen Khalid; Jinendra Satiya; Aamer Abbass; Gulshan Parasher; Daniel Castresana

doi:10.7759/cureus.7572

Migration of Over-the-scope Clip Resulting in Anal Pain and Obstructed Defecation

Cureus. 2020 Apr 7;12(4):e7572. doi: 10.7759/cureus.7572.

Authors

Sameen Khalid¹, Jinendra Satiya², Aamer Abbass¹, Gulshan Parasher¹, Daniel Castresana¹

Affiliations

¹ Gastroenterology and Hepatology, University of New Mexico, Albuquerque, USA.
² Internal Medicine, NYC Health + Hospitals/Metropolitan, New York, USA.

Abstract

Iatrogenic perforation is a known and feared complication of diagnostic and therapeutic colonoscopy. Specific locations in the gastrointestinal tract, such as the jejunum, have a higher risk of perforation owing to its difficult anatomical position. Over-the-scope clips have recently been used for the management of these perforations. We present the case of a 40-year-old male patient treated with over-the-scope (Ovesco^®, Ovesco Endoscopy AG, Tübingen, Germany) clips for an iatrogenic postpolypectomy perforation with subsequent anal pain and inability to evacuate stool occurring as a result of the migration of the clip, followed by a review of the literature.

Keywords: adenomas; endoscopic resection; over-the-scope clips; polypectomy; polyps.

Publication types

Case Reports