Year 2024 / Volume 116 / Number 5
Letter
Plastic biliary stent migration as a cause of ascending colon perforation

283-284

DOI: 10.17235/reed.2023.9696/2023

Omar Vergara-Fernández, Danilo Tueme de la Peña, Jorge Canto-Losa,

Abstract
A 65-year-old male with pancreatic cancer stage IV and history of endoscopic retrograde cholangiopancreatography (ERCP) and plastic biliary stent placement 43 days earlier, arrived to the emergency department with 8-hour right upper quadrant pain, fever, and shivering. Contrast enhanced computed tomography showed migration of the biliary stent to the ascending colon, with signs of perforation on its antimesenteric edge. A surgical approach by laparotomy was decided. The biliary stent was found perforating the ascending colon and in contact with the abdominal wall. The stent contained the colonic perforation, avoiding leakage. Removal of migrated endoprosthesis and primary closure was made. The patient remained in observation and with IV antibiotics, a new was performed ERCP with placement of an 8 cm by 10 Fr Amsterdam-type plastic stent on the 7th day due to cholangitis, with subsequent complete recovery. Endoscopic placement of stents has become a well-established procedure for biliary disease. Stent migration may be present in up to 6-8% of the cases. In most cases, distal migration has an uncomplicated passage, but it may cause bowel injury in up to 1%. This life-threatening complication requires prompt evaluation and management either by endoscopic or surgical approach.
Share Button
New comment
Comments
No comments for this article
References
1. Barranco Castro D, Aparcero López R, Domínguez Amodeo A, Caunedo Álvarez A. Biliary stent migration as a rare cause of ileal perforation. Rev Española Enfermedades Dig [Internet]. 2021;15(21):2672–4. Disponible en: https://online.reed.es/fichaArticulo.aspx?iarf=688765748231-417273198167
2. Yuan X lei, Ye L song, Liu Q, Wu C cheng, Liu W, Zeng X hui, et al. Risk factors for distal migration of biliary plastic stents and related duodenal injury. Surg Endosc [Internet]. 2020;34(4):1722–8. Disponible en: https://doi.org/10.1007/s00464-019-06957-x
3. Cano-Hoz M, Carrascosa MF, Pérez AD, Ramos-Martín R. Migrated biliary stent. Lancet Gastroenterol Hepatol [Internet]. 2018;3(4):288. Disponible en: http://dx.doi.org/10.1016/S2468-1253(18)30038-4
Related articles

Letter

Endoscopic rescue of a fistulizing biliary plastic stent

DOI: 10.17235/reed.2023.9673/2023

Letter

Clip migration after cholecystectomy

DOI: 10.17235/reed.2021.8156/2021

Letter

Biliary stent migration as a rare cause of ileal perforation

DOI: 10.17235/reed.2021.8073/2021

Letter

Ischemic gastritis and severe diabetic ketoacidosis

DOI: 10.17235/reed.2020.7655/2020

Digestive Diseases Image

Calcified cavitating mesenteric lymph node syndrome: a rare complication of celiac disease

DOI: 10.17235/reed.2020.7494/2020

Letter

Hemorrhagic complications following paracentesis

DOI: 10.17235/reed.2020.6914/2020

Digestive Diseases Image

Cumbersome removal of an endoscopic nasobiliary drainage tube

DOI: 10.17235/reed.2019.5962/2018

Digestive Diseases Image

A rare case of acute obstructive suppurative pancreatic ductitis associated with ERCP

DOI: 10.17235/reed.2018.5756/2018

Letter to the Editor

Late migration of a metal stent after EUS-drainage of a pancreatic pseudocyst abscess

DOI: 10.17235/reed.2018.5411/2017

Letter to the Editor

A post-endoscopic retrograde cholangiopancreatography subcapsular hepatic hematoma

DOI: 10.17235/reed.2017.5123/2017

Letter to the Editor

Bowel obstruction secondary to intraluminal migration of the abdominal wall mesh

DOI: 10.17235/reed.2017.4916/2017

Original

Usefulness of an intra-gastric balloon before bariatric surgery

DOI: 10.17235/reed.2017.4624/2016

Original

Multicenter study on the safety of bariatric endoscopy

DOI: 10.17235/reed.2017.4499/2016

Letter to the Editor

Intramural gastric hematoma in the context of an acute pancreatitis

DOI: 10.17235/reed.2017.4494/2016

Case Report

Hepatic hematoma after ERCP: two new case reports

DOI: 10.17235/reed.2017.4237/2016

Letter to the Editor

Hepatic subcapsular hematoma: a rare late complication after ERCP

DOI: 10.17235/reed.2016.4111/2015

Digestive Diseases Image

Successive breaks in biliary stents

Citation tools
Vergara-Fernández O, Tueme de la Peña D, Canto-Losa J. Plastic biliary stent migration as a cause of ascending colon perforation. 9696/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 135 visits.
This article has been downloaded 15 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 27/04/2023

Accepted: 03/05/2023

Online First: 12/05/2023

Published: 09/05/2024

Article Online First time: 15 days

Article editing time: 378 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology