Endoscopic closure of a perforated rectum with an over-the-scope clip following diagnostic colonoscopy.

Abstract

Our patient is a 77-year-old-woman who underwent colonoscopy for rectal bleeding which revealed hemorrhoids. A day after the colonoscopy, the patient attended our hospital’s emergency room with severe lower abdominal pain. Computed tomography (CT) with rectal contrast revealed free air and extravasation of the contrast material into the abdominal cavity ([Fig. 1]). As there was no abscess nor ascites, after discussion with general surgeons endoscopic closure of the perforation was decided upon.