A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent
Biliary endoprostheses are widely used in the treatment of biliary lithiasis, malignant and benign strictures, and occasionally in long-lasting biliary fistulas. They can be placed endoscopically during endoscopic retrograde cholangiopancreatography and radiologically (percutaneous) when the endosco...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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SAGE Publishing
2024-04-01
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Series: | Journal of Investigative Medicine High Impact Case Reports |
Online Access: | https://doi.org/10.1177/23247096241238527 |
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author | Luca Ghirardelli MD Aldo Alberto Beneduce MD Simone Gusmini MD |
author_facet | Luca Ghirardelli MD Aldo Alberto Beneduce MD Simone Gusmini MD |
author_sort | Luca Ghirardelli MD |
collection | DOAJ |
description | Biliary endoprostheses are widely used in the treatment of biliary lithiasis, malignant and benign strictures, and occasionally in long-lasting biliary fistulas. They can be placed endoscopically during endoscopic retrograde cholangiopancreatography and radiologically (percutaneous) when the endoscopic route is not feasible. Complications associated with the endoscopic placement of biliary endoprostheses are well described in the literature, with migration being the most common. Intestinal obstruction is a rare complication associated with the migration of these devices. There are no reports in the literature of this complication occurring after percutaneous placement. We present a case of a patient who arrived at the emergency department with ileal obstruction secondary to the migration and concurrent embedding of a covered stent placed radiologically to treat a biliary leak after surgery. The patient underwent diagnostic laparoscopic and ileal resection, revealing a lithiasic concretion at the tip of the stent, causing the small bowel obstruction. |
first_indexed | 2024-04-24T06:46:13Z |
format | Article |
id | doaj.art-251a264685ad4bd6957da25982f2a6d5 |
institution | Directory Open Access Journal |
issn | 2324-7096 |
language | English |
last_indexed | 2024-04-24T06:46:13Z |
publishDate | 2024-04-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Journal of Investigative Medicine High Impact Case Reports |
spelling | doaj.art-251a264685ad4bd6957da25982f2a6d52024-04-22T18:04:06ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962024-04-011210.1177/23247096241238527A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary StentLuca Ghirardelli MD0Aldo Alberto Beneduce MD1Simone Gusmini MD2IRCCS San Raffaele Scientific Institute Milan, ItalyIRCCS San Raffaele Scientific Institute Milan, ItalyIRCCS San Raffaele Scientific Institute Milan, ItalyBiliary endoprostheses are widely used in the treatment of biliary lithiasis, malignant and benign strictures, and occasionally in long-lasting biliary fistulas. They can be placed endoscopically during endoscopic retrograde cholangiopancreatography and radiologically (percutaneous) when the endoscopic route is not feasible. Complications associated with the endoscopic placement of biliary endoprostheses are well described in the literature, with migration being the most common. Intestinal obstruction is a rare complication associated with the migration of these devices. There are no reports in the literature of this complication occurring after percutaneous placement. We present a case of a patient who arrived at the emergency department with ileal obstruction secondary to the migration and concurrent embedding of a covered stent placed radiologically to treat a biliary leak after surgery. The patient underwent diagnostic laparoscopic and ileal resection, revealing a lithiasic concretion at the tip of the stent, causing the small bowel obstruction.https://doi.org/10.1177/23247096241238527 |
spellingShingle | Luca Ghirardelli MD Aldo Alberto Beneduce MD Simone Gusmini MD A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent Journal of Investigative Medicine High Impact Case Reports |
title | A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent |
title_full | A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent |
title_fullStr | A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent |
title_full_unstemmed | A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent |
title_short | A Rare Case of Small Bowel Obstruction due to Migration of a Percutaneous Biliary Stent |
title_sort | rare case of small bowel obstruction due to migration of a percutaneous biliary stent |
url | https://doi.org/10.1177/23247096241238527 |
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