Colonic perforations caused by migrated plastic biliary stents

Edoardo Virgilio¹, Guido Pascarella², Chiara Maria Scandavini², Barbara Frezza², Tommaso Bocchetti³, Genoveffa Balducci³

Affiliations

¹ Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.
² Department of Emergency Surgery, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.
³ Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy. ; Department of Emergency Surgery, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.

PMID: 25741207
PMCID: PMC4347281
DOI: 10.3348/kjr.2015.16.2.444

Case Reports

Colonic perforations caused by migrated plastic biliary stents

Edoardo Virgilio et al. Korean J Radiol. 2015 Mar-Apr.

. 2015 Mar-Apr;16(2):444-5.

doi: 10.3348/kjr.2015.16.2.444. Epub 2015 Feb 27.

Authors

Edoardo Virgilio¹, Guido Pascarella², Chiara Maria Scandavini², Barbara Frezza², Tommaso Bocchetti³, Genoveffa Balducci³

Affiliations

¹ Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.
² Department of Emergency Surgery, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.
³ Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy. ; Department of Emergency Surgery, Faculty of Medicine and Psychology "Sapienza", St. Andrea Hospital, Rome 00189, Italy.

PMID: 25741207
PMCID: PMC4347281
DOI: 10.3348/kjr.2015.16.2.444

No abstract available

Keywords: Colonic perforation; Diverticular disease; Migrated biliary stent.

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Figures

**Fig. 1. First patient.**
A. Plain film of abdomen showing plastic biliary stent in left iliac fossa (within red circle). B. CT scan disclosing sigmoid colon perforation caused by stent (red arrow). C. Intraoperative finding of stent perforating sigmoid diverticulum.

**Fig. 2. Second patient.**
A. Plain abdominal X-ray detected plastic stent dislodged in lower quadrant of abdomen (within yellow quadrangle). B. Endoscopic view of stent. C. 12-Fr, 12-cm straight plastic stent was successfully removed during colonoscopy.

See this image and copyright information in PMC

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References

1. Chittleborough TJ, Mgaieth S, Kirkby B, Zakon J. Remove the migrated stent: sigmoid colon perforation from migrated biliary stent. ANZ J Surg. 2014 Jul 31; [Epub]. http://dx.doi.org/10.1111/ans.12796. - DOI - PubMed
1. Wilhelm A, Langer C, Zoeller G, Nustede R, Becker H. Complex colovesicular fistula: a severe complication caused by biliary stent migration. Gastrointest Endosc. 2003;57:124–126. - PubMed
1. Alcaide N, Lorenzo-Pelayo S, Herranz-Bachiller MT, de la Serna-Higuera C, Barrio J, Perez-Miranda M. Sigmoid perforation caused by a migrated biliary stent and closed with clips. Endoscopy. 2012;44(Suppl 2 UCTN):E274. - PubMed

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Colonic perforations caused by migrated plastic biliary stents

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Colonic perforations caused by migrated plastic biliary stents

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