Navigating Complications: A Case of Hemostatic Clip-Induced Biliary Obstruction Leading to Acute Cholangitis

A 67-year-old man presented with signs and symptoms of acute cholangitis following recent endoscopic evaluation at an outside facility for upper gastrointestinal bleed requiring hemostatic clip placement in the duodenum. Endoscopic retrograde cholangiopancreatography showed a hemostatic clip placed at the major papillary orifice, resulting in mechanical obstruction. The hemostatic clip was removed, and a biliary sphincterotomy was performed with subsequent biliary stent placement with successful alleviation of the patient's biliary obstruction.