Perforation of a peptic ulcer with migration of hemostatic clips: a rare complication in the treatment of upper gastrointestinal haemorrhage

Abstract

Hemostatic clips are one of the most common treatment options for upper gastrointestinal haemorrhage, allowing for monotherapy in Forrest IIa or higher-grade bleeding. Complications associated with them are infrequent, limited to erosions and minor bleeding related to their deployment. We present the case of a patient with upper gastrointestinal haemorrhage secondary to a duodenal peptic ulcer. The patient was treated using a combination of various hemostatic methods, which resulted in perforation of the ulcer and migration of a hemostatic clip into the duodeno-pancreatic groove.

Keywords: hemostatic clip, perforation, upper gastrointestinal haemorrhage.