Endo clip or hemo clip

Case contributed by Dr Jayanth Keshavamurthy

Presentation

58 year old male for abdominal pain.Post - operative KUB radiograph.

Patient Data

Age: 58
Gender: Male
X-ray

Can you name the clips in right upper quadrant. How was the clip placed ? What should radiologist know about it ?

Post surgical skin staples.

Cholecystectomy clips.

Endo clip or hemo clip is seen overlying right upper quadrant. It was placed by upper endoscopy.

X-ray

The endoclip has since passed out of bowel. The endoclip is usually defecated out. So when you see it moving in KUB radiograph it is usually normal.

Annotated image

This clip has a central opening unlike the adjoining cholecystectomy clips.It is placed by endoscopy. 

Case Discussion

These clips are placed endoscopically for bleeding vessels and mucosal lesions within upper and lower GI tract.

I have seen it used to anchor the esophageal wall stent to mucosa in our hospital.

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Case information

rID: 38971
Published: 14th Aug 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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