Duodenum and ascending colonal perforation due to biliary stent migration
Introduction: Bowel perforation due to migrated biliary stent is a rare complication. Here, we report a case of duodenal and ascending colonal perforation due to biliary stent migration. Case presentation: A 35-year-old man is complaining of right upper abdominal pain presented to the gastroenterolo...
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| Language: | English |
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Elsevier
2025-01-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024173318 |
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| author | Qiuping Gu Xinyan Liu Chunping Zhu Jiaming Huang |
| author_facet | Qiuping Gu Xinyan Liu Chunping Zhu Jiaming Huang |
| author_sort | Qiuping Gu |
| collection | DOAJ |
| description | Introduction: Bowel perforation due to migrated biliary stent is a rare complication. Here, we report a case of duodenal and ascending colonal perforation due to biliary stent migration. Case presentation: A 35-year-old man is complaining of right upper abdominal pain presented to the gastroenterology department. Two months ago, he was diagnosed with common bile duct stone with acute cholangitis, a straight plastic biliary stent was placed in his common bile duct. Abdominal computed tomography, upper endoscopy and colonoscopy confirmed that the stent penetrated the duodenum into the ascending colon. The stent was extracted by upper endoscopy, and the defects of the duodenum and ascending colon were closed by clips endoscopically. Discussion: Bowel perforation due to biliary stent migration is a rare but severe complication. Risk factors for dislocation of stents include stent insertion for more than one month, wide stent, benigh diseases and longer stent. Endoscopy is a minimally invasive and safe meneuver to retrieve stent. Conclusion: Patients inserted with long, wide and straight biliary stent for more than one month are at high risk of stent dislocation. Endoscopy is a minimally invasive and safe meneuver to retrieve stent, and should be considered as the first-line treatment. |
| format | Article |
| id | doaj-art-bc42dee55ee94a85800e53dcb9aaaf63 |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-bc42dee55ee94a85800e53dcb9aaaf632025-01-17T04:50:50ZengElsevierHeliyon2405-84402025-01-01111e41300Duodenum and ascending colonal perforation due to biliary stent migrationQiuping Gu0Xinyan Liu1Chunping Zhu2Jiaming Huang3Department of Gastroenterology, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, ChinaDepartment of Gastroenterology, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, ChinaDepartment of Gastroenterology, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, ChinaDepartment of Gastroenterology, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, China; Department of Gastroenterology, Xinfeng People's Hospital, Ganzhou, Jiangxi, 341000, China; Corresponding author. Department of Gastroenterology, Ganzhou People's Hospital, 16 Meiguan, Street, Ganzhou, Jiangxi, 341000, China.Introduction: Bowel perforation due to migrated biliary stent is a rare complication. Here, we report a case of duodenal and ascending colonal perforation due to biliary stent migration. Case presentation: A 35-year-old man is complaining of right upper abdominal pain presented to the gastroenterology department. Two months ago, he was diagnosed with common bile duct stone with acute cholangitis, a straight plastic biliary stent was placed in his common bile duct. Abdominal computed tomography, upper endoscopy and colonoscopy confirmed that the stent penetrated the duodenum into the ascending colon. The stent was extracted by upper endoscopy, and the defects of the duodenum and ascending colon were closed by clips endoscopically. Discussion: Bowel perforation due to biliary stent migration is a rare but severe complication. Risk factors for dislocation of stents include stent insertion for more than one month, wide stent, benigh diseases and longer stent. Endoscopy is a minimally invasive and safe meneuver to retrieve stent. Conclusion: Patients inserted with long, wide and straight biliary stent for more than one month are at high risk of stent dislocation. Endoscopy is a minimally invasive and safe meneuver to retrieve stent, and should be considered as the first-line treatment.http://www.sciencedirect.com/science/article/pii/S2405844024173318Biliary stentMigarionPerforationEndoscopyEndoscopic retrograde cholangiopancreatography |
| spellingShingle | Qiuping Gu Xinyan Liu Chunping Zhu Jiaming Huang Duodenum and ascending colonal perforation due to biliary stent migration Heliyon Biliary stent Migarion Perforation Endoscopy Endoscopic retrograde cholangiopancreatography |
| title | Duodenum and ascending colonal perforation due to biliary stent migration |
| title_full | Duodenum and ascending colonal perforation due to biliary stent migration |
| title_fullStr | Duodenum and ascending colonal perforation due to biliary stent migration |
| title_full_unstemmed | Duodenum and ascending colonal perforation due to biliary stent migration |
| title_short | Duodenum and ascending colonal perforation due to biliary stent migration |
| title_sort | duodenum and ascending colonal perforation due to biliary stent migration |
| topic | Biliary stent Migarion Perforation Endoscopy Endoscopic retrograde cholangiopancreatography |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024173318 |
| work_keys_str_mv | AT qiupinggu duodenumandascendingcolonalperforationduetobiliarystentmigration AT xinyanliu duodenumandascendingcolonalperforationduetobiliarystentmigration AT chunpingzhu duodenumandascendingcolonalperforationduetobiliarystentmigration AT jiaminghuang duodenumandascendingcolonalperforationduetobiliarystentmigration |