Successful Closure of Penetrating Rectal Injury Using Flexible Endoscopic Over-the-Scope-Clip (OTSC)

Penetrating rectal injuries in civilian surgical practice are mostly due to gun-shot injuries or stab injuries in buttock area1. Treatment algorithm of these penetrating injuries depends upon whether its a gun-shot or stab wound. Irrespective, the management of these injuries is challenging and depends upon associated internal injuries. Fundamental management principles of rectal injury secondary to stab wound include direct primary closure, fecal diversion, presacral drainage or distal rectal washout.2 We report a case of stab injury to the natal cleft region with the rectal injury which was successfully managed endoscopically by using over-the-scope-clip (OTSC).