Rectal perforations and fistulae secondary to a glycerin enema: Closure by over-the-scope-clip

Figure 3 Colonoscopy and computed tomography of case 2. A: Colonoscopy revealed a large fistula (25 mm) (arrow) in the ventral wall of the rectum; B: Following contrast radiography with a colonoscopy, computed tomography revealed the pooling of the radiocontrast agent in the urinary bladder and fistula (arrow); C: Complete closure of the fistula with a series of over-the-scope-clips (OTSCs) (double OTSCs) was performed (arrow); D: Computed tomography revealed the pooling of the radiocontrast agent in the urinary bladder and the complete closure of the fistula with double OTSCs (arrow).