Biliary stent migration with colonic diverticular perforation,☆☆,

https://doi.org/10.1016/S0016-5107(98)70262-7Get rights and content

Section snippets

Case Report

An 82-year-old woman with a history of cardiac and cerebrovascular disease was admitted with a short history of fever, right upper quadrant pain, and jaundice. A diagnosis of ascending cholangitis secondary to underlying choledocholithiasis was suspected on clinical and biochemical grounds and confirmed on ultrasound. Initial treatment included intravenous antibiotics and correction of her coagulopathy. She underwent ERCP, which disclosed evidence of biliary tree dilatation and three common

DISCUSSION

Endoscopic biliary stenting was first described by Soehendra and Reynders-Frederix in 198011 and since has become a principal management option in the treatment of pancreaticobiliary disease. Procedure-related early complications occur at a rate of between 8% to 10%; procedure-related mortality is approximately 2%.12 Late occlusion occurs at a mean of 4 to 6 months.12

Biliary stent migration has been shown to occur in approximately 5% of cases.13 Most accounts of bowel perforation related to

References (16)

There are more references available in the full text version of this article.

Cited by (42)

  • A rare cause for Hartmann's procedure due to biliary stent migration: A case report

    2017, International Journal of Surgery Case Reports
    Citation Excerpt :

    In cases of long-term treatment, stent migration can cause complications which can lead to life-threatening situations and sometimes diagnosis can be difficult due to absence of typical symptoms. To date, a small number of works are available concerning sigmoid perforation from a biliary stent [15,20–28]. In most cases, the patient had concurrent diverticulosis or abdominal adhesions, which increase the risk for colonic perforation [7,25].

View all citing articles on Scopus

From Royal Perth Hospital and Fremantle Hospital, WA, Australia.

☆☆

Reprint requests: N.P. Lenzo, Department of Internal Medicine, Royal Perth Hospital, Perth WA, Australia.

37/54/88608

View full text