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...

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Main Authors: Luca Ghirardelli MD, Aldo Alberto Beneduce MD, Simone Gusmini MD
Format: Article
Language:English
Published: SAGE Publishing 2024-04-01
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.
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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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