Case Report
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Year 2025, Volume: 2 Issue: 2, 135 - 137, 30.06.2025
https://doi.org/10.70058/cjm.1565942

Abstract

References

  • Soehendra N, Reynders-Frederix V. Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain. Endoscopy. 1980;12(1):8-11. doi:10.1055/s-2007-1021702
  • Jones M, George B, Jameson J, Garcea G. Biliary stent migration causing perforation of the caecum and chronic abdominal pain. BMJ Case Rep. 2013;2013:bcr2013009124. Published 2013 Sep 10. doi:10.1136/bcr-2013-009124
  • Mady RF, Niaz OS, Assal MM. Migrated biliary stent causing perforation of sigmoid colon and pelvic abscess. BMJ Case Rep. 2015;2015:bcr2014206805. Published 2015 Apr 13. doi:10.1136/bcr-2014-206805
  • Siaperas P, Ioannidis A, Skarpas A, Angelopoulos A, Drikos I, Karanikas I. A rare cause for Hartmann's procedure due to biliary stent migration: A case report. Int J Surg Case Rep. 2017;31:83-85. doi:10.1016/j.ijscr.2017.01.016
  • Rogart JN, Boghos A, Rossi F, et al. Analysis of endoscopic management of occluded metal biliary stents at a single tertiary care center. Gastrointest Endosc. 2008;68(4):676-682. doi:10.1016/j.gie.2008.03.1064
  • Riccardi M, Deters K, Jabbar F. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Rep Surg. 2019;2019:2549170. Published 2019 May 19. doi:10.1155/2019/2549170
  • Arhan M, Odemiş B, Parlak E, Ertuğrul I, Başar O. Migration of biliary plastic stents: experience of a tertiary center. Surg Endosc. 2009;23(4):769-775. doi:10.1007/s00464-008-0067-x
  • Zorbas KA, Ashmeade S, Lois W, Farkas DT. Small bowel perforation from a migrated biliary stent: A case report and review of literature. World J Gastrointest Endosc. 2021;13(10):543-554. doi:10.4253/wjge.v13.i10.543
  • Virgilio E, Pascarella G, Scandavini CM, Frezza B, Bocchetti T, Balducci G. Colonic perforations caused by migrated plastic biliary stents. Korean J Radiol. 2015;16(2):444-445. doi:10.3348/kjr.2015.16.2.444
  • Brown D, Naidu J, Thomas R. Bowel perforation: a 'not so rare' complication of biliary stent migration. ANZ J Surg. 2021;91(12):E784-E786. doi:10.1111/ans.16902
  • Bagul A, Pollard C, Dennison AR. A review of problems following insertion of biliary stents illustrated by an unusual complication. Ann R Coll Surg Engl. 2010;92(4):W27-W31. doi:10.1308/147870810X12659688852239

A rare cause of acute abdomen: Ileal perforation due to biliary stent migration

Year 2025, Volume: 2 Issue: 2, 135 - 137, 30.06.2025
https://doi.org/10.70058/cjm.1565942

Abstract

We present a case of a migrated biliary stent that resulted in ileal perforation. An 85-year-old male with severe right lower quadrant abdominal pain, nausea, and vomiting for twenty-four-hour presented to the emergency department. He had undergone an ERCP two months previously for primary choledocholithiasis. Sphincterotomy was performed, and a 10 Fr 10 cm plastic biliary stent was placed in the common bile duct. On physical examination at admission, he was tenderness in the right lower quadrant. Abdominal computed tomography showed an extra-luminated biliary stent accompanied by localized free air and fluid in the right lower quadrant. The patient underwent emergency surgery. Most of the migrated stents are excreted by passage, but it can cause mortal complications such as bowel perforation, intra-abdominal abscess, and ileus.

Ethical Statement

All authors have contributed significantly, and all authors are in agreement with the content of the manuscript. The authors have no conflicts of interest or financial ties to disclose regarding to this work. Written informed consent was obtained from the patient.

Supporting Institution

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Thanks

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References

  • Soehendra N, Reynders-Frederix V. Palliative bile duct drainage - a new endoscopic method of introducing a transpapillary drain. Endoscopy. 1980;12(1):8-11. doi:10.1055/s-2007-1021702
  • Jones M, George B, Jameson J, Garcea G. Biliary stent migration causing perforation of the caecum and chronic abdominal pain. BMJ Case Rep. 2013;2013:bcr2013009124. Published 2013 Sep 10. doi:10.1136/bcr-2013-009124
  • Mady RF, Niaz OS, Assal MM. Migrated biliary stent causing perforation of sigmoid colon and pelvic abscess. BMJ Case Rep. 2015;2015:bcr2014206805. Published 2015 Apr 13. doi:10.1136/bcr-2014-206805
  • Siaperas P, Ioannidis A, Skarpas A, Angelopoulos A, Drikos I, Karanikas I. A rare cause for Hartmann's procedure due to biliary stent migration: A case report. Int J Surg Case Rep. 2017;31:83-85. doi:10.1016/j.ijscr.2017.01.016
  • Rogart JN, Boghos A, Rossi F, et al. Analysis of endoscopic management of occluded metal biliary stents at a single tertiary care center. Gastrointest Endosc. 2008;68(4):676-682. doi:10.1016/j.gie.2008.03.1064
  • Riccardi M, Deters K, Jabbar F. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Rep Surg. 2019;2019:2549170. Published 2019 May 19. doi:10.1155/2019/2549170
  • Arhan M, Odemiş B, Parlak E, Ertuğrul I, Başar O. Migration of biliary plastic stents: experience of a tertiary center. Surg Endosc. 2009;23(4):769-775. doi:10.1007/s00464-008-0067-x
  • Zorbas KA, Ashmeade S, Lois W, Farkas DT. Small bowel perforation from a migrated biliary stent: A case report and review of literature. World J Gastrointest Endosc. 2021;13(10):543-554. doi:10.4253/wjge.v13.i10.543
  • Virgilio E, Pascarella G, Scandavini CM, Frezza B, Bocchetti T, Balducci G. Colonic perforations caused by migrated plastic biliary stents. Korean J Radiol. 2015;16(2):444-445. doi:10.3348/kjr.2015.16.2.444
  • Brown D, Naidu J, Thomas R. Bowel perforation: a 'not so rare' complication of biliary stent migration. ANZ J Surg. 2021;91(12):E784-E786. doi:10.1111/ans.16902
  • Bagul A, Pollard C, Dennison AR. A review of problems following insertion of biliary stents illustrated by an unusual complication. Ann R Coll Surg Engl. 2010;92(4):W27-W31. doi:10.1308/147870810X12659688852239
There are 11 citations in total.

Details

Primary Language English
Subjects Gastroenterology and Hepatology
Journal Section Case Reports
Authors

Hüsnü Şevik 0000-0001-6381-6726

Oğuzhan Tekin 0000-0002-0569-7949

Ishak Yildiz 0000-0003-2597-4736

Mert Güngör 0000-0001-5006-9565

Coskun Cakir 0000-0002-0173-9259

Publication Date June 30, 2025
Submission Date October 12, 2024
Acceptance Date December 2, 2024
Published in Issue Year 2025 Volume: 2 Issue: 2

Cite

Vancouver Şevik H, Tekin O, Yildiz I, Güngör M, Cakir C. A rare cause of acute abdomen: Ileal perforation due to biliary stent migration. Cerasus J Med. 2025;2(2):135-7.