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Case Reports
. 2011 May 3:2011:bcr0420114078.
doi: 10.1136/bcr.04.2011.4078.

Endoscopic management of migrated biliary stent causing sigmoid perforation

Sadaf F Jafferbhoy  1 , Peter Scriven, Jeremy Bannister, Muhammad Hanif Shiwani, Paul Hurlstone
Affiliations
Case Reports

Endoscopic management of migrated biliary stent causing sigmoid perforation

Sadaf F Jafferbhoy et al. BMJ Case Rep. .

Abstract

Endoscopically deployed biliary stents are a well established method for dealing with biliary diseases. Perforation of the gut secondary to migrated biliary stent is reported in less than 1% cases. The authors present the first case of a colonic perforation from migrated biliary stent which was managed endoscopically. An 82-year-old female had a biliary stent for a postcholecystectomy bile leak and presented 6 months later with left iliac fossa pain. Barium enema showed a stent perforating the sigmoid colon. In view of the patient's frailty and absence of peritonitis, an endoscopic retrieval of stent was attempted. Flexible sigmoidoscopy showed a stent partially embedded within the sigmoid diverticulum which was successfully removed and the defect was closed endoscopically using three titanium clips. She had an uncomplicated recovery following the procedure and was discharged home on the second day following the procedure.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Plain abdominal x-ray.
Figure 2
Figure 2
Barium enema.
Figure 3
Figure 3
Endoscopic picture of stent.
Figure 4
Figure 4
Plain abdominal x-ray with clips.
See this image and copyright information in PMC

References

    1. Saranga Bharathi R, Rao P, Ghosh K. Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update. Endoscopy 2006;38:1271–4 - PubMed
    1. Salih M, Hamid S, Shah HA, et al. Endoscopic management of biliary leaks after open and laparoscopic cholecystectomy. J Pak Med Assoc 2007;57:117–19 - PubMed
    1. Levy MJ, Baron TH, Gostout CJ, et al. Palliation of malignant extrahepatic biliary obstruction with plastic versus expandable metal stents: An evidence-based approach. Clin Gastroenterol Hepatol 2004;2:273–85 - PubMed
    1. Rosés LL, Ramirez AG, Seco AL, et al. Clip closure of a duodenal perforation secondary to a biliary stent. Gastrointest Endosc 2000;51(4 Pt 1):487–9 - PubMed
    1. Hain J, Berndt D, Hrubý M. [Perforation of the sigmoid due to a duodeno-biliary stent displacement]. Rozhl Chir 2010;89:315–16 - PubMed

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