Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review
Introduction and Importance. Endoscopic retrograde cholangiopancreatography (ERCP) is a non-surgical method utilized to manage biliary tract obstruction, but the complication of biliary stent migration occurs in 5–10% of patients. Though migrated stents are commonly passed through the gastrointestin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2023/9493333 |
| _version_ | 1797741078647930880 |
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| author | Arash Mohammadi Tofigh Hamed Tahmasbi Majid Iranshahi Alireza Haghbin Toutounchi Hojatolah Khoshnoudi Seyed Pedram Kouchak Hosseini |
| author_facet | Arash Mohammadi Tofigh Hamed Tahmasbi Majid Iranshahi Alireza Haghbin Toutounchi Hojatolah Khoshnoudi Seyed Pedram Kouchak Hosseini |
| author_sort | Arash Mohammadi Tofigh |
| collection | DOAJ |
| description | Introduction and Importance. Endoscopic retrograde cholangiopancreatography (ERCP) is a non-surgical method utilized to manage biliary tract obstruction, but the complication of biliary stent migration occurs in 5–10% of patients. Though migrated stents are commonly passed through the gastrointestinal tract without harm, intestinal perforation is a rare but severe complication, affecting less than 1% of cases. Case Presentation. We report a case of a 65-year-old woman who presented to the emergency department with symptoms of abdominal pain, nausea, and loss of appetite. According to clinical examination and evidence, the patient underwent surgery with high suspicion of appendicitis, which unexpectedly uncovered a perforated cecum with a protruding biliary stent. Clinical Discussion. Our report describes a unique and unexpected finding of cecal perforation caused by a migrated biliary stent in a patient. We also conducted a review of current literature on ERCP complications, including risk factors for stent migration, relevant statistics, and appropriate interventions. Conclusion. Surgeons should be aware of the risk of stent migration and complications in patients with a history of ERCP. Removal of migrated biliary stents is recommended, regardless of the presence of complications. Additional assessments for alternative diagnoses are recommended for older patients with abdominal pain complaints. Flexible plastic stents should be used for patients at risk of stent passage. |
| first_indexed | 2024-03-12T14:21:42Z |
| format | Article |
| id | doaj.art-b05c6be2ece846caab43bfb83bcb963c |
| institution | Directory Open Access Journal |
| issn | 2090-6919 |
| language | English |
| last_indexed | 2024-03-12T14:21:42Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj.art-b05c6be2ece846caab43bfb83bcb963c2023-08-19T00:00:00ZengHindawi LimitedCase Reports in Surgery2090-69192023-01-01202310.1155/2023/9493333Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature ReviewArash Mohammadi Tofigh0Hamed Tahmasbi1Majid Iranshahi2Alireza Haghbin Toutounchi3Hojatolah Khoshnoudi4Seyed Pedram Kouchak Hosseini5Department of General SurgeryDepartment of General SurgeryGastroenterology and Liver Diseases Research CenterDepartment of General SurgeryDepartment of General SurgeryDepartment of General SurgeryIntroduction and Importance. Endoscopic retrograde cholangiopancreatography (ERCP) is a non-surgical method utilized to manage biliary tract obstruction, but the complication of biliary stent migration occurs in 5–10% of patients. Though migrated stents are commonly passed through the gastrointestinal tract without harm, intestinal perforation is a rare but severe complication, affecting less than 1% of cases. Case Presentation. We report a case of a 65-year-old woman who presented to the emergency department with symptoms of abdominal pain, nausea, and loss of appetite. According to clinical examination and evidence, the patient underwent surgery with high suspicion of appendicitis, which unexpectedly uncovered a perforated cecum with a protruding biliary stent. Clinical Discussion. Our report describes a unique and unexpected finding of cecal perforation caused by a migrated biliary stent in a patient. We also conducted a review of current literature on ERCP complications, including risk factors for stent migration, relevant statistics, and appropriate interventions. Conclusion. Surgeons should be aware of the risk of stent migration and complications in patients with a history of ERCP. Removal of migrated biliary stents is recommended, regardless of the presence of complications. Additional assessments for alternative diagnoses are recommended for older patients with abdominal pain complaints. Flexible plastic stents should be used for patients at risk of stent passage.http://dx.doi.org/10.1155/2023/9493333 |
| spellingShingle | Arash Mohammadi Tofigh Hamed Tahmasbi Majid Iranshahi Alireza Haghbin Toutounchi Hojatolah Khoshnoudi Seyed Pedram Kouchak Hosseini Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review Case Reports in Surgery |
| title | Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review |
| title_full | Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review |
| title_fullStr | Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review |
| title_full_unstemmed | Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review |
| title_short | Cecal Perforation Induced by Migrated Biliary Stent as a Rare Complication of ERCP: A Case Report and Literature Review |
| title_sort | cecal perforation induced by migrated biliary stent as a rare complication of ercp a case report and literature review |
| url | http://dx.doi.org/10.1155/2023/9493333 |
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