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Over-The-Scope Clip Misdeployment Resulting in Acute Cholangitis and Biliary Pancreatitis
Aniruddha Srivastava1, Luay M Almassalha2, Laurens P Janssens2
1Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Abstract:
Over-the-scope clips (OTSCs) have improved the endoscopic management of acute nonvariceal upper gastrointestinal bleeding. They allow for effective hemostasis of high-risk lesions in challenging locations and have been shown to be superior to through-the-scope clips. However, misdeployment of OTSCs may be associated with obstructive complications. In this study, we present the case of a 67-year-old man who developed recurrent gastrointestinal bleeding from a duodenal ulcer. His course was ultimately complicated by acute cholangitis and pancreatitis from a misdeployed OTSC around the ampulla. Endoscopic management was pursued, and the clip was successfully retracted with resolution of his biliary obstruction and subsequent clinical improvement.
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