Korean J Radiol.  2015 Apr;16(2):444-445. 10.3348/kjr.2015.16.2.444.

Colonic Perforations Caused by Migrated Plastic Biliary Stents

• Virgilio E
• Pascarella G
• Scandavini CM
• Frezza B
• Bocchetti
• Balducci G

• KMID: 2070189
• DOI: http://doi.org/10.3348/kjr.2015.16.2.444

Abstract

No abstract available.

Keyword

Colonic perforation; Migrated biliary stent; Diverticular disease

MeSH Terms

Colon/pathology/surgery
Colonoscopy
Female
Humans
Intestinal Perforation/*etiology
Plastics
Stents/*adverse effects
Plastics

Figure

• 

  Fig. 1 First patient. A. Plain film of abdomen showing plastic biliary stent in left iliac fossa (within red circle). B. CT scan disclosing sigmoid colon perforation caused by stent (red arrow). C. Intraoperative finding of stent perforating sigmoid diverticulum.

• 

  Fig. 2 Second patient. A. Plain abdominal X-ray detected plastic stent dislodged in lower quadrant of abdomen (within yellow quadrangle). B. Endoscopic view of stent. C. 12-Fr, 12-cm straight plastic stent was successfully removed during colonoscopy.

Reference

1. Chittleborough TJ, Mgaieth S, Kirkby B, Zakon J. Remove the migrated stent: sigmoid colon perforation from migrated biliary stent. ANZ J Surg. 2014; 07. 31. [Epub]. http://dx.doi.org/10.1111/ans.12796.

2. Wilhelm A, Langer C, Zoeller G, Nustede R, Becker H. Complex colovesicular fistula: a severe complication caused by biliary stent migration. Gastrointest Endosc. 2003; 57:124–126.

3. Alcaide N, Lorenzo-Pelayo S, Herranz-Bachiller MT, de la Serna-Higuera C, Barrio J, Perez-Miranda M. Sigmoid perforation caused by a migrated biliary stent and closed with clips. Endoscopy. 2012; 44:Suppl 2 UCTN. E274.