Key Clinical MessageThis case highlights the importance of considering stent migration as a possible cause of intestinal perforation and the need for prompt surgical intervention.AbstractEndo‐biliary stent displacement is rare but can cause intestinal perforation. An 85‐year‐old woman with a history of ERCPs and biliary stents experienced stomach pain and vomiting. She was diagnosed with small bowel perforation from migrated stents and underwent emergency laparotomy, bowel resection, and tension‐free stapled anastomosis.