CASE REPORT article
Front. Surg.
Sec. Visceral Surgery
Use of the Over-The-Scope Clipping (OTSC) System in a trauma patient for a large bowel anastomotic leak
Provisionally accepted
- Research Chair for Evidence-Based Health Care and Knowledge Translation, Family and Community Medicine Department, College of Medicine, King Saud University, Ribeirão Preto, Saudi Arabia
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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.
Keywords: Anastomotic leakage, case report, gastrointestinal surgery, OTSC, Trauma
Received: 27 Sep 2025; Accepted: 28 Jan 2026.
Copyright: © 2026 Nouh. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Thamer Nouh
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