Tung William, Shultz John R, Schirmer Bruce D, Copland Andrew C, Wang Andrew Y
Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, VA.
Division of General Surgery, Department of Surgery, University of Virginia, Charlottesville, VA.
ACG Case Rep J. 2019 Dec 18;6(12):e00284. doi: 10.14309/crj.0000000000000284. eCollection 2019 Dec.
An over-the-scope clip is a type of endoscopically placed clip used to treat gastrointestinal perforation, bleeding, or fistula. After the defect heals, the clip usually passes uneventfully through the gastrointestinal tract. An uncommon complication of over-the-scope clip placement is intestinal obstruction caused by luminal stenosis at the site of clip placement. Intestinal obstruction can rarely cause other downstream complications such as hydronephrosis from extrinsic compression of the urinary tract. We report a rare case of bilateral hydronephrosis caused by bowel obstruction from a migrated endoscopically placed clip.
套扎型夹子是一种通过内镜放置的夹子，用于治疗胃肠道穿孔、出血或瘘管。缺损愈合后，夹子通常会顺利通过胃肠道。套扎型夹子放置的一种罕见并发症是夹子放置部位的管腔狭窄导致的肠梗阻。肠梗阻很少会引起其他下游并发症，如因尿路外部受压导致的肾积水。我们报告了一例罕见的因内镜放置的夹子移位导致肠梗阻引起双侧肾积水的病例。
