scholarly journals A Rare Complication of Biliary Stent Migration: Small Bowel Perforation in a Patient with Incisional Hernia

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Özkan Yilmaz ◽  
Remzi Kiziltan ◽  
Oktay Aydin ◽  
Vedat Bayrak ◽  
Çetin Kotan

Endoscopic biliary stents have been recently applied with increasing frequency as a palliative and curable method in several benign and malignant diseases. As a reminder, although most of the migrated stents pass through the intestinal tract without symptoms, a small portion can lead to complications. Herein, we present a case of intestinal perforation caused by a biliary stent in the hernia of a patient with a rarely encountered incarcerated incisional hernia.

1997 ◽  
Vol 24 (2) ◽  
pp. 106-110 ◽  
Author(s):  
Robert M. Esterl ◽  
Matthew St. Laurent ◽  
Micheal K. Bay ◽  
K. Vincent Speeg ◽  
Glenn A. Halff

Author(s):  
Flavio Tirelli ◽  
Paolo Mirco ◽  
Pietro Fransvea ◽  
Gilda Pepe ◽  
Andrea Tringali ◽  
...  

AbstractEndoscopic retrograde cholangiopacreatography (ERCP) has a pivotal role for the management of various malignant and benign pancreatico-biliary disorders. Biliary stents migration is reported in 5 to 10% of the cases and can be responsible for bowel perforation. An 80-year-old Caucasian man was referred to our hospital for an attempt at endoscopic extraction of massive intrahepatic lithiasis; during ERCP, complete stone extraction in a single session was not achievable and three plastic biliary stents were inserted to promote stone size reduction and perform a delayed cholangioscopy-assisted lithotripsy. During the next 2 days, the patient developed worsening abdominal pain with no fever, nausea, and vomiting. An emergency computed tomography showed a duodenal perforation due to biliary stent migration. Upon laparotomy, a direct suture of the duodenal lesion was performed. The patient died 3 days later because of a multiorgan failure. ERCP-related complications may occur in 5 to 15% of the cases and biliary stent migration accounts for 5 to 10% of these cases; less than 1% of stents migration determines bowel perforation, most commonly in the duodenum. Stent-related bowel perforation can be clinically misleading and early diagnosis and treatment are sometimes challenging. Whether the duodenal perforation is intra- or retroperitoneal should be taken into account to choose the best therapeutic approach.


2001 ◽  
Vol 15 (9) ◽  
pp. 1043-1043 ◽  
Author(s):  
B. M. Mistry ◽  
M. A. Memon ◽  
R. Silverman ◽  
F. R. Burton ◽  
C. R. Varma ◽  
...  

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