Endoscopic Closure of a Intraoperatively Perforated Duodenal Diverticulum Using an "Over-the-Scope-Clip" (OTSC) - A Case Report

A 75-year-old multimorbid patient was referred to our department because of a suspected bile leak 4 days after a difficult "conversion" cholecystectomy. Multiple adhesions after prior right hemicolectomy and a deep discharge of the cystic duct into the common bile duct close to a diverticulum were found intraoperatively ERCP revealed an 8 mm linear defect at the bottom of a 4 x 2 cm duodenal diverticulum, most probably due to complex prior surgery. In accordance with the operating surgeons the defect was closed endoscopically using a "over-the-scope-clip" system (OTSC)