Endoscopy 2021; 53(S 01): S215
DOI: 10.1055/s-0041-1724854
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Biliary Stent Migration With Duodenal Perforation – How to Manage?

I Marques de Sá
1   Portuguese Oncology Institute of Porto, Gastroenterology, Porto, Portugal
,
R Küttner-Magalhães
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
3   Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
,
T Pereira Guedes
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
3   Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
,
J Silva
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
3   Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
,
D Ferreira
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
3   Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
,
JM Ferreira
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
,
I Pedroto
2   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
4   Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal
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A 50-year-old man with liver transplant for hepatocellular carcinoma was admitted because of cholangitis and choledocholithiasis. He underwent endoscopic retrograde cholangiopancreatography(ERCP) with sphincterotomy, stone extraction and a 10Frx12cm straight plastic stent was inserted due to doubt about completeness of stone removal. On D7 after ERCP, he maintained fever and hyperbilirubinemia. Computed tomography revealed distal biliary stent migration with duodenal perforation. Endoscopy was performed. The stent was extracted with foreign body forceps and the transmural defect closed with an over-the-scope-clip, uneventfully.

Biliary stent migration with duodenal perforation is rare. Although guidelines on management are lacking, endoscopy is an appropriate first-line treatment.

Citation Marques de Sá I, Küttner-Magalhães R, Pereira Guedes T et al. eP363V BILIARY STENT MIGRATION WITH DUODENAL PERFORATION – HOW TO MANAGE?. Endoscopy 2021; 53: S215.



Publication History

Article published online:
19 March 2021

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