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Endoscopic Management of Colonic Perforation Due to Biliary Stent Migration

Biliary stenting is an indispensable procedure in malignant and benign obstructions. Stent migration is seen in approximately 5-10% of patients with biliary stent placement. Duodenal, ileal, jejunal and colon perforation due to biliary stent migration has been reported in less than 1% of cases. In this case, a 70-year-old female patient who had a biliary stent implanted 7 months ago due to choledocholithiasis was admitted with the complaint of abdominal pain. Computed tomography showed a plastic biliary stent with one end perforating the lumen of the sigmoid colon and the other end perforating the colon wall and peritoneal cavity. The patient was successfully removed endoscopically due to the absence of abscess and peritonitis clinic. Biliary stenting is an indispensable procedure in malignant and benign obstructions. Stent migration is seen in approximately 5-10% of biliary stent patients. Duodenal, ileal, jejunal and colonic perforation due to biliary stent migration tubules in less than 1% of cases. In this case, a 70-year-old female patient who had a biliary stent inserted 7 months ago due to choledocholithiasis applied with the complaint of abdominal pain. Computed tomography showed a plastic biliary stent with one end in the lumen of the sigmoid colon and the other end perforating the colon wall and peritoneal wall. Due to the absence of abscess and peritonitis clinic on computed tomography, it was decided to plan an endoscopic procedure for the patient. In rectosigmoidoscopy, a plastic stent perforating the sigmoid colon wall and one end in the peritoneum was observed. The stent was removed with foreign body forceps. The perforation area formed by the stent was closed with a hemoclip. It should not be forgotten that stent migration and related perforation may occur in abdominal pain in patients with a history of biliary stent. Perforation cases without abscess and peritonitis clinic should be evaluated in terms of endoscopic treatments, as in our case.

Biliary Stent, Colonic Perforation, Endoscopic Management

APA Style

Emin Bodakçi. (2023). Endoscopic Management of Colonic Perforation Due to Biliary Stent Migration. International Journal of Gastroenterology, 7(2), 54-56. https://doi.org/10.11648/j.ijg.20230702.13

ACS Style

Emin Bodakçi. Endoscopic Management of Colonic Perforation Due to Biliary Stent Migration. Int. J. Gastroenterol. 2023, 7(2), 54-56. doi: 10.11648/j.ijg.20230702.13

AMA Style

Emin Bodakçi. Endoscopic Management of Colonic Perforation Due to Biliary Stent Migration. Int J Gastroenterol. 2023;7(2):54-56. doi: 10.11648/j.ijg.20230702.13

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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