Bowel Obstruction and Hydronephrosis Due to an Over-the-Scope Clip

Area of Science:

• Gastroenterology
• Endoscopy
• Urology

Background:

• Over-the-scope clips (OTSC) are used for gastrointestinal defects like perforations, bleeding, and fistulas.
• OTSC are typically endoscopically placed and usually pass through the GI tract after healing.

Observation:

• Intestinal obstruction is an uncommon complication of OTSC placement, resulting from luminal stenosis.
• This obstruction can lead to downstream issues, including urinary tract compression.

Findings:

• A rare case of bilateral hydronephrosis secondary to bowel obstruction from a migrated OTSC is presented.
• The migrated clip caused extrinsic compression of the urinary tract.

Implications:

• This case underscores the importance of recognizing rare complications associated with endoscopic interventions.
• Awareness of potential OTSC migration and its sequelae is crucial for patient management and monitoring.