Issa H, Nahawi M, Bseiso B, Al-Salem A. Migration of a biliary stent causing duodenal perforation and biliary peritonitis. World J Gastrointest Endosc 2013; 5(10): 523-526 [PMID: 24147198 DOI: 10.4253/wjge.v5.i10.523]
Corresponding Author of This Article
Dr. Ahmed Al-Salem, Department of Pediatric Surgery, Maternity and Children Hospital, PO Box 61015, Qatif 31911, Saudi Arabia. ahsalsalem@hotmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
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World J Gastrointest Endosc. Oct 16, 2013; 5(10): 523-526 Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.523
Migration of a biliary stent causing duodenal perforation and biliary peritonitis
Hussain Issa, Mamdouh Nahawi, Bahaa Bseiso, Ahmed Al-Salem
Hussain Issa, Baha Bseiso, Department of Internal Medicine, King Fahad Specialist Hospital, Dammam 32253-3202, Saudi Arabia
Mamdouh Nahawi, Department of Surgery, King Fahad Specialist Hospital, Dammam 32253-3202, Saudi Arabia
Ahmed Al-Salem, Department of Pediatric Surgery, Maternity and Children Hospital, Dammam 32253-3202, Saudi Arabia
Author contributions: Issa H, Nahawi M and Beseiso B collected the data and reviewed the manuscript; Issa H and Al-Salem A revised the manuscript; Issa H managed the patient; Nahawi M operated on the patient; Al-Salem A wrote the manuscript.
Correspondence to: Dr. Ahmed Al-Salem, Department of Pediatric Surgery, Maternity and Children Hospital, PO Box 61015, Qatif 31911, Saudi Arabia. ahsalsalem@hotmail.com
Telephone: +966-5-46102999 Fax: +966-1-38630009
Received: July 15, 2013 Revised: August 26, 2013 Accepted: September 3, 2013 Published online: October 16, 2013 Processing time: 92 Days and 11.5 Hours
Abstract
Migration of endoscopically placed biliary stents is a well-recognized complication of endoscopic retrograde cholangiopancreatography. Less than 1% of migrated stents however cause intestinal perforation. We present a case of a migrated biliary stent that resulted in duodenal perforation and biliary peritonitis.
Core tip: Biliary stent migration complicated by duodenal perforation is rare and should be included in the differential diagnosis of those presenting with abdominal pain after endoscopic retrograde cholangiopancreatography with stent placement and physicians caring for these patients should be aware of such complication. To reduce the chance of stent migration, endoscopists should assess for the size and shape of the stent in each patient.
