Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Oct 16, 2021; 13(10): 543-554
Published online Oct 16, 2021. doi: 10.4253/wjge.v13.i10.543
Small bowel perforation from a migrated biliary stent: A case report and review of literature
Konstantinos A Zorbas, Shane Ashmeade, William Lois, Daniel T Farkas
Konstantinos A Zorbas, Shane Ashmeade, William Lois, Daniel T Farkas, Department of Surgery, Bronx Care Health System, New York, NY 10457, United States
Author contributions: All the authors have seen and approved this manuscript and contributed equally to the final submission.
Informed consent statement: Patient provided us informed consent for publication of this case report.
Conflict-of-interest statement: All authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
CARE Checklist (2016) statement: Care checklist has been uploaded.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Konstantinos A Zorbas, MD, Doctor, Department of Surgery, Bronx Care Health System, 1650 Grand Concourse, New York, NY 10457, United States. zorbasko@gmail.com
Received: March 30, 2021
Peer-review started: March 30, 2021
First decision: June 25, 2021
Revised: July 10, 2021
Accepted: September 8, 2021
Article in press: September 8, 2021
Published online: October 16, 2021
Abstract
BACKGROUND

Bowel perforation from biliary stent migration is a serious potential complication of biliary stents, but fortunately has an incidence of less than 1%.

CASE SUMMARY

We report a case of a 54-year-old Caucasian woman with a history of Human Immunodeficiency virus with acquired immunodeficiency syndrome, chronic obstructive pulmonary disease, alcoholic liver cirrhosis, portal vein thrombosis and extensive past surgical history who presented with acute abdominal pain and local peritonitis. On further evaluation she was diagnosed with small bowel perforation secondary to migrated biliary stents and underwent exploratory laparotomy with therapeutic intervention.

CONCLUSION

This case presentation reports on the unusual finding of two migrated biliary stents, with one causing perforation. In addition, we review the relevant literature on migrated stents.

Keywords: Biliary stent, Biliary stent migration, Small bowel perforation, Endoscopic retrograde cholangiopancreatography, Case report

Core Tip: Bowel perforation from biliary stent migration is a serious potential complication of biliary stents, but fortunately has an incidence of less than 1%. From this review of literature, we can see that most common types of migrated stents entailing bowel perforation are the plastic stents and the most common site of perforation is duodenum. A significant finding is the mortality after bowel perforation from biliary stent which is as high as 10.3%. The main treatment is surgical stent removal, but a growing body of literature shows that endoscopic removal and mucosal repair is feasible in select cases. This has still not been accomplished in the mid portion of the bowel.