Case Report: Use of the over-the-scope clipping system in a trauma patient for a large bowel anastomotic leak

Anastomotic leakage is a relatively common and serious complication following gastrointestinal surgery. Traditionally, management has relied on surgical re-intervention with fecal diversion, often followed by a secondary reversal procedure. In recent years, the over-the-scope clip (OTSC) system, originally developed for gastrointestinal perforations and bleeding, has emerged as a minimally invasive alternative for selected cases of anastomotic leakage. I report the case of a 47-year-old trauma patient who developed a persistent colonic anastomotic leak following large bowel resection. After failure of conservative management, the defect was successfully closed using the OTSC system, with complete resolution and no post-procedural complications.