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Endoscopy 2000; 32(1): 87-89
DOI: 10.1055/s-2000-87
Case Report
Georg Thieme Verlag Stuttgart ·New York

Gut Perforation Caused by Biliary Endoprosthesis

 R. H. Størkson 1 ,  B. Edwin 1 ,  O. Reiertsen 1 ,  A. E. Færden 1 ,  O. Sortland 2 ,  A. R. Rosseland 1
  • 1 Surgical Department, Section of Gastroenterology
  • 2 Radiological Department, Central Hospital of Akershus, Nordbyhagen, Norway
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Publication History

Publication Date:
25 September 2003 (online)

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Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993 - 1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but did not recover. The second patient was an 86-year-old man who had perforation of the sigmoid colon caused by a straight 7 French/5 cm stent left in the duodenum during a stent exchange procedure; he was successfully treated laparoscopically. Two cases of gut perforation in a three-year period is a rather high rate of this rare complication of placement of biliary endoprostheses.

References

  • 1 Elder J, Stevenson G. Delayed perforation of a duodenal diverticulum by a biliary endoprosthesis.  Can Assoc Radiol J. 1993;  44 45-48
    PubMedGoogle Scholar
  • 2 Schuster D, Achong Dwight J. Duodenal perforation by a biliary endoprosthesis: evaluation by hepatobiliary scintigraphy.  Clin Gastroenterol. 1992;  15 177-178
    PubMedGoogle Scholar
  • 3 Schmalz M J, Johanson J F. Migrated biliary and pancreatic stents: complications and techniques for retrieval.  Gastrointest Endoscopy. 1991;  37 252
    PubMedGoogle Scholar
  • 4 Ruffolo T, Lehman G A. Biliary stent migration with colonic diverticular impaction.  Gastroint. Endoscopy. 1992;  38 81-83
    CrossrefPubMedGoogle Scholar
  • 5 Humar A, Barron P. Pancreatitis and duodenal perforation as complications of an endoscopically placed biliary stent.  Gastrointest Endoscopy. 1994;  40 365-366
    PubMedGoogle Scholar
  • 6 Lowe G, Bernfield J. Gastric pneumatosis: sign of biliary stent-related perforation.  Radiology. 1990;  174 1037-1038
    PubMedGoogle Scholar
  • 7 Gould J, Train J. Duodenal perforation of a delayed complication of placement of a biliary endoprosthesis.  Radiology. 1988;  167 467-469
    PubMedGoogle Scholar
  • 8 Baty V, Denis B, Bigard M A, Gaucher P. Sigmoid diverticular perforation relating to the migration of a polyethylene endoprosthesis.  Endoscopy. 1996;  28 781
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Schaafsma R J, Spoelstra P, Pakan J, Huibregtse K. Sigmoid perforation: a rare complication of a migrated biliary endoprosthesis.  Endoscopy. 1996;  28 469-470
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Cotton P, Williams C. Stent removal and change. In: Practical gastrointestinal endoscopy.  Oxford; Blackwell Science 1996: 162-164
    Google Scholar
  • 11 Davidoff E, Towne J B, Sate M Y. Ingested foreign bodies.  J Med. 1975;  75 1003-1007
    PubMedGoogle Scholar
  • 12 Magnæs B. Fremmedlegemer i ventrikkel og tarm.  T nor Lægefor. 1969;  89 1727-1730
    PubMedGoogle Scholar
  • 13 Kristiansen K. Nedsvelgede fremmedlegemer hos fengselsinnsatte.  Med puplic Kir adv Ssh i Akershus. 1977;  2 24-29
    PubMedGoogle Scholar

R. Stoerkson

Surgical Department Section of Gastroenterology Central Hospital of Akershus

1474 Nordbyhagen

Norway

Phone: +47-67928800