“…Most cases of stent migration are asymptomatic and occur within the first 24 hours after stent placement. Risk factors for migration include inadequate expansion, smaller stent diameter, tumours of the distal rectum, and prior chemotherapy or radiation 6…”
Section: Discussionmentioning
confidence: 99%
“…Risk factors include deeper tumour depth, prior radiation and balloon dilation prior to stent placement 2 3 7. Unusual examples include stent erosion into the bladder requiring pelvic exenteration6 and erosion into the external iliac artery following chemotherapy 7. These unusual and complex cases usually manifest as late complications.…”
Section: Discussionmentioning
confidence: 99%
“…Risk factors for migration include inadequate expansion, smaller stent diameter, tumours of the distal rectum, and prior chemotherapy or radiation. 6 …”
Colonic self-expanding metal stents (SEMSs) are commonly used to treat large bowel obstruction due to gastrointestinal malignancy with great success. While mortality is negligible, morbidity from both early and late complications can be significant. Stent perforation, erosion and migration are the most feared complications. We present the first reported case of wire-associated colon perforation with placement and migration of an SEMS into the inferior mesenteric vein (IMV). A man in his early 60s presented with a large bowel obstruction due to a colorectal mass. He underwent endoscopic colonic SEMS placement for colonic decompression. The stent was later found to be within the IMV, requiring a colon resection and retrieval of the stent.
“…Most cases of stent migration are asymptomatic and occur within the first 24 hours after stent placement. Risk factors for migration include inadequate expansion, smaller stent diameter, tumours of the distal rectum, and prior chemotherapy or radiation 6…”
Section: Discussionmentioning
confidence: 99%
“…Risk factors include deeper tumour depth, prior radiation and balloon dilation prior to stent placement 2 3 7. Unusual examples include stent erosion into the bladder requiring pelvic exenteration6 and erosion into the external iliac artery following chemotherapy 7. These unusual and complex cases usually manifest as late complications.…”
Section: Discussionmentioning
confidence: 99%
“…Risk factors for migration include inadequate expansion, smaller stent diameter, tumours of the distal rectum, and prior chemotherapy or radiation. 6 …”
Colonic self-expanding metal stents (SEMSs) are commonly used to treat large bowel obstruction due to gastrointestinal malignancy with great success. While mortality is negligible, morbidity from both early and late complications can be significant. Stent perforation, erosion and migration are the most feared complications. We present the first reported case of wire-associated colon perforation with placement and migration of an SEMS into the inferior mesenteric vein (IMV). A man in his early 60s presented with a large bowel obstruction due to a colorectal mass. He underwent endoscopic colonic SEMS placement for colonic decompression. The stent was later found to be within the IMV, requiring a colon resection and retrieval of the stent.
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