Percutaneous retrieval of a biliary stent after migration and ileal perforation

Culnan, Derek M.; Cicuto, Bryan J; Singh, Harjit; Cherry, Robert A.

doi:10.1186/1749-7922-4-6

Cited by 23 publications

(19 citation statements)

References 15 publications

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“…17,21 Multiple stents are associated with a decreased frequency of migration possibly due to the fact that they will be held more tightly within the stricture and there may be increased friction between the stents (particularly when they have been placed for any length of time and the surface becomes irregular). 21,32 Migration of biliary stents can lead to impaction in the distal bowel and the commonest cause is an extrinsic fixation or irregularity of the bowel wall such as the ligament of Trietz, 7 parastomal hernias, abdominal hernias, adhesions, colonic diverticulae 4 and, rarely, in the orifice of the appendix. 8 The complications that result following stent migration and impaction have been broadly classified into penetration, perforation, intraabdominal sepsis and obstruction of the intestine, 41 50 Rarely, other cavities or organs such as pleura or pancreas can be effected 14,15 and, as reported by ourselves, very rarely groin abscess.…”

Section: Discussionmentioning

confidence: 99%

A review of problems following insertion of biliary stents illustrated by an unusual complication

Bagul

Pollard

Dennison

2010

annals

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Introduction The management of obstructive jaundice resulting from both benign and malignant causes relies heavily on minimally invasive techniques and particularly with the insertion of biliary endoprostheses. Migration of these biliary stents is a well-documented problem and can result in a variety of complications including perforation, intra-abdominal sepsis, fistulae formation, obstruction and appendicitis. Methods A literature search was performed using PubMed examining case reports, published abstracts and reviews to date (2009). In addition, we report a left groin abscess as a previously unreported complication following migration of a biliary endoprosthesis. Findings Stent migration can lead to serious complications and produce significant morbidity and mortality. Symptomatic patients especially those with other co-morbid abdominal pathologies such as colonic diverticulae, parastomal hernia or abdominal hernias may be at an increased risk of perforation especially when straight plastic stents are used.

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Section: Discussionmentioning

confidence: 99%

A review of problems following insertion of biliary stents illustrated by an unusual complication

Bagul

Pollard

Dennison

2010

annals

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“…The majority of distally migrated plastic stents pass unnoticed through the digestive tract2 but a proportion of these migrated stents can lodge in the bowel leading to local complications, with straight plastic stents posing the greatest risk 3 4. The most commonly reported complication is that of perforation, occurring in less than 1% of cases,5 but cases of fistula formation,6 obstruction,7 abscess formation and appendicitis8 have also been reported.…”

Section: Discussionmentioning

confidence: 99%

Biliary stent migration causing perforation of the caecum and chronic abdominal pain

Jones¹,

George

Jameson

et al. 2013

BMJ Case Reports

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“…En caso de no poder ser extraídas con estas técnicas, se aconseja realizar una cirugía precoz para evitar posibles complicaciones. Es raro que las endoprótesis biliares impacten en la pared intestinal, siendo la causa más frecuente de impactación la fijación extrínseca o irregularidades de la pared intestinal 2,4,9,14 , como el ligamento de Treitz 19 , las hernias paraestomales, las hernias abdominales, las adherencias intestinales y los divertículos colónicos 20 ; una causa más rara sería el enclavamiento en el orificio apendicular 21 . Esto produciría perforaciones intestinales, sepsis intraabdominal, obstrucción intestinal, fístulas intestinales, perforación de divertículo colónico, fascitis necrotizante y apendicitis 2 .…”

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Perforación diverticular sigmoidea secundaria a la migración de endoprótesis biliar plástica

et al. 2013

Rev Chil Cir

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Sigmoid diverticulum perforation due to plastic biliary stent migrationBackground: Biliary stents are devices that are used to widen narrowed bile ducts, especially in malignant obstructions, although at present its use in benign biliopancreatic diseases is progressively increasing. Endoscopic placement of biliary stents is a well established procedure that is performed daily. Despite its frequency, has a complication rate of 5-10%, the most common are cholangitis and stent obstruction and there are others more rare and serious like pancreatitis, gastrointestinal bleeding, intestinal perforation and biliary stent migration. Case report: We report a 70-years-old male with a history of plastic biliary stent placement after open cholecystectomy because of choledocholithiasis, who arrived at the Emergency Department with symptoms of intestinal obstruction. After performing imaging studies, there was significant intestinal dilation and a biliary stent in the sigmoid colon. He underwent urgent surgical intervention, having the plastic biliary stent located in a sigmoid diverticulum. We performed removal of the stent and simple suture of the sigmoid diverticular perforation. Conclusion: Sigmoid diverticular perforation secondary to migration of a plastic biliary stent is a rare complication that can occur after placement of a stent in the bile duct. It must be suspected in all acute abdomens accompanied of radiological images demonstrating biliary stent migration because these patients often show atypical symptoms. ResumenIntroducción: Las endoprótesis biliares son dispositivos que se emplean para ampliar las vías biliares estenosadas, especialmente en las obstrucciones malignas, aunque actualmente su uso está aumentando progresivamente en las enfermedades benignas biliopancreáticas. La colocación endoscópica de las endoprótesis biliares es un procedimiento bien establecido que se realiza diariamente, aunque presenta una tasa de complicaciones de 5-10%, siendo las más frecuentes la colangitis y la obstrucción de la propia endoprótesis, existiendo otras más raras y graves como la pancreatitis, la hemorragia digestiva, la perforación intestinal y la migración de la endoprótesis biliar. Caso clínico: Varón de 70 años de edad con antecedentes de colocación de

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Percutaneous retrieval of a biliary stent after migration and ileal perforation

Cited by 23 publications

References 15 publications

A review of problems following insertion of biliary stents illustrated by an unusual complication

A review of problems following insertion of biliary stents illustrated by an unusual complication

Biliary stent migration causing perforation of the caecum and chronic abdominal pain

Perforación diverticular sigmoidea secundaria a la migración de endoprótesis biliar plástica

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