![](/images/graphics-bg.png)
Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration
Joint Authors
Riccardi, Margaret
Deters, Kaitlin
Jabbar, Furrukh
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-19
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Biliary stent migration occurs in 5-10% of patients.
Generally, this is a benign process and stents pass or are retrieved endoscopically.
In rare instances, intestinal perforation has occurred.
Presentation of Case.
A 79-year-old female presented with a one-day history of abdominal pain.
She had undergone an ERCP four weeks previously for primary choledocholithiasis during which time a sphincterotomy and sphincteroplasty were performed, and stents were placed in the common bile duct.
CT scan of the abdomen and pelvis demonstrated a biliary stent that had migrated into the sigmoid colon, appearing to perforate the colon with free air throughout the abdomen.
Patient was taken for diagnostic laparoscopy and noted to have biliary stent perforating the sigmoid colon.
Procedure was converted to open, and Hartmann’s procedure was performed with end colostomy.
Conclusion.
Generally, biliary stent migration is a benign process, but in rare instances, intestinal perforation has occurred.
Sites of perforation include the duodenum, distal small bowel, and colon.
Perforation is more common with an additional pathology present such as hernias or diverticular disease.
Migration and perforation also appear more common with straight biliary stents.
In patients with known diverticular disease and straight biliary stents, considerations should be made for early stent removal.
American Psychological Association (APA)
Riccardi, Margaret& Deters, Kaitlin& Jabbar, Furrukh. 2019. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Reports in Surgery،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1144634
Modern Language Association (MLA)
Riccardi, Margaret…[et al.]. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Reports in Surgery No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1144634
American Medical Association (AMA)
Riccardi, Margaret& Deters, Kaitlin& Jabbar, Furrukh. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Reports in Surgery. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1144634
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144634