A rare cause for Hartmann’s procedure due to biliary stent migration: A case report

Abstract

HighlightsMigration of a biliary stent can cause life-threatening complications.When a stent migration occurs, in case of complications, surgical removal is the only treatment option.Among the complications associated with stent migration, intestinal bleeding, obstruction and perforation are of outmost importance.

Acute Abdomen in a Patient with a History of Pulmonary Tuberculosis and Endoscopic Retrograde Cholangio-Pancreatography Due to Common Bile Duct Stones

“…Sometimes the diagnosis can be difficult because of the absence of typical symptoms.And sometimes, it leads to intestinal perforation and peritonitis. 11 Less than 1% of migrated biliary stents cause bowel perforation. 12 In the case presented here, the stent entered the small intestine after migration,and because of the adhesion of the intestine following the previous abdominal operations, the intestine was punctured, and the patient developed infectious peritonitis.…”

“…Sometimes the diagnosis can be difficult because of the absence of typical symptoms.And sometimes, it leads to intestinal perforation and peritonitis. 11 …”

Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration

“…A review of the literature shows only twenty-five cases of intestinal perforation secondary to biliary stent migration. Sites of perforation include the duodenum, distal small bowel, and colon [2–8]. Perforation appears to be more common in patients with straight plastic stents, with soft pigtail stents rarely causing complications [2].…”

Heterotaxy syndrome and biliodigestive anastomosis with migration of biliar prosthesis

“…However, rapid recognition of these stents is important because repositioning or removal of the device, percutaneously or endoscopically, can be performed to prevent the development of complications such as penetration, perforation and obstruction. 9,10,14,15 The presence of patient abdominal comorbidities, for example, adhesions, diverticular disease and/or hernias, is associated to a higher risk of complications. 10,11,15,17 Patients with biliary endoprostheses should be followed up clinically and with imaging, endoscopy or x-ray tests.…”