Late small bowel perforation from a migrated double plastic biliary stent: A case report and a review of literature of 85 cases from 2000 to 2022

Abstract

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.

Migrated Plastic Biliary Stent Causing Cecal Perforation

“… 11 However, most research on endoscopic treatment for bowel perforation caused by migrating stents focuses on duodenal or distal large bowel perforation. 12 In our case, the patient had signs of mild peritonitis that warranted surgical management, and given the cecal location of the stent and that prepping the patient would pose a risk of dislodging the stent and causing fecal peritonitis, surgical treatment of the perforation was preferred over endoscopic treatment.…”