Related Experiment Videos
Intestinal perforation in a parastomal hernia by a migrated plastic biliary stent
1Division of Gastrointestinal and Hepatobiliary Medicine, Worcester Medical Center/Fallon Clinic, University of Massachusetts Medical School, 20 Worcester Center, Boulevard, Worcester, MA 01608, USA.
Surgical Endoscopy
|June 27, 2002
Summary
Plastic biliary stents can cause organ perforation, commonly in the duodenum near the bile duct. This report details the first case of a stent perforating a parastomal hernia.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Plastic biliary stents are used to treat biliary obstructions.
- Organ perforation is a known, albeit uncommon, complication of plastic biliary stent placement.
Observation:
- Perforation typically occurs in the duodenum, often associated with periampullary diverticula.
- Stent migration can lead to perforation in the ileum or sigmoid colon.
- A rare case involved a stent perforating an incarcerated small bowel hernia.
Findings:
- This study reports the first instance of a plastic biliary stent causing perforation within a parastomal hernia.
Implications:
- This case expands the spectrum of known biliary stent complications.
- Awareness of parastomal hernias is crucial when considering biliary stent placement in relevant patients.
- Further investigation may be needed to understand risk factors and prevention strategies for this specific complication.