Biliary stent migration with colonic diverticular perforation☆,☆☆,★
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
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Cited by (42)
A rare cause for Hartmann's procedure due to biliary stent migration: A case report
2017, International Journal of Surgery Case ReportsCitation 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].
Advantages of laparoscopic stented choledochorrhaphy. Six years experience
2008, Cirugia EspanolaThe perfect biliary plastic stent: the search goes on
2023, Annals of GastroenterologyMigratory biliary stent resulting in colonic perforation: a rare complication and review of literature
2023, Journal of Surgical Case ReportsDormia Basket versus Extraction Balloon in Proximally Migrated Biliary Stents
2023, Journal of the Pakistan Medical AssociationColonic diverticular perforation by a migrated biliary stent A case report with literature review
2021, Medicine (United States)
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From Royal Perth Hospital and Fremantle Hospital, WA, Australia.
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Reprint requests: N.P. Lenzo, Department of Internal Medicine, Royal Perth Hospital, Perth WA, Australia.
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