PDF herunterladen
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(04): 193-195
DOI: 10.4103/jde.JDE_83_17
Case Report
Journal of Digestive Endoscopy

Duodenal Perforation Secondary to Migrated Biliary Stent: A Rare and Serious Complication of Endoscopic Retrograde Cholangiopancreatography

Vipul D. Yagnik
Department of Surgical Gastroenterology, Ronak Endo‑laparoscopy and General Surgical Hospital, Patan, India
,
Vismit P. Joshipura
1   Department of Surgical Gastroenterology, Vivan Hospital, Ahmedabad, Gujarat, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
24. September 2019 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Although migration of biliary stents is not uncommon, stent‑induced perforation of the intestinal wall is a rare and serious complication. We report a case of duodenal perforation secondary to migrated biliary stent kept for obstructive jaundice for common bile duct stone in a 64‑year‑old male. Intestinal perforation secondary to migrated stent should be considered in patients reported with abdominal pain and sepsis after an endoscopic retrograde cholangiopancreatography with biliary stent placement.

KEYWORDS

Biliary stent - duodenal perforation - endoscopic retrograde cholangiopancreatography
 

  • REFERENCES

  • 1 Freeman ML. Adverse event of ERCP prediction, prevention and management. In: Baron TH, Kozarek RA, Car-locke DL. editors ERCP. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013: p. 57-65
    CrossrefSuche in Google Scholar
  • 2 Loperfido S, Angelini G, Benedetti G, Chilovi F, Costan F, De Berardinis F. et al. Major early complications from diagnostic and therapeutic ERCP: A prospective multicenter study. Gastrointest Endosc 1998; 48: 1-0
    CrossrefPubMedSuche in Google Scholar
  • 3 Howard TJ, Tan T, Lehman GA, Sherman S, Madura JA, Fogel E. et al. Classification and management of perforations complicating endoscopic sphincterotomy. Surgery 1999; 126: 658-63
    CrossrefPubMedSuche in Google Scholar
  • 4 Stapfer M, Selby RR, Stain SC, Katkhouda N, Parekh D, Jabbour N. et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreaticography and sphincterotomy. Am Surg 2000; 232: 191-8
    Suche in Google Scholar
  • 5 Arhan M, Odemiş B, Parlak E, Ertuǧrul I, Başar O. Migration of biliary plastic stents: Experience of a tertiary center. Surg Endosc 2009; 23: 769-75
    CrossrefPubMedSuche in Google Scholar
  • 6 Humar A, Barron PT, Sekar AS, Lum A. Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent. Gastrointest Endosc 1994; 40: 365-6
    CrossrefPubMedSuche in Google Scholar
  • 7 Størkson RH, Edwin B, Reiertsen O, Faerden AE, Sortland O, Rosseland AR. et al. Gut perforation caused by biliary endoprosthesis. Endoscopy 2000; 32: 87-9
    Thieme ConnectPubMedSuche in Google Scholar
  • 8 Yilmaz Ö, Kiziltan R, Aydin O, Bayrak V, Kotan Ç. A rare complication of biliary stent migration: Small bowel perforation in a patient with incisional hernia. Case Rep Surg 2015 DOI:https://doi.org/10.1155/2015/860286
    PubMedSuche in Google Scholar
  • 9 Elliott M, Boland S. Sigmoid colon perforation following a migrated biliary stent. ANZ J Surg 2003; 73: 669-70
    CrossrefPubMedSuche in Google Scholar
  • 10 Rosés LL, Ramirez AG, Seco AL, Blanco ES, Alonso DI, Avila S. et al. Clip closure of a duodenal perforation secondary to a biliary stent. Gastrointest Endosc 2000; 51: 487-9
    CrossrefPubMedSuche in Google Scholar