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Related Experiment Videos

Biliary stent causing colovaginal fistula: case report.

Anna-Maria Blake1, Narinder Monga, Ernest M Dunn

  • 1Department of General Surgery, Methodist Hospitals of Dallas, Texas 75203, USA.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 21, 2004
PubMed
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A lost biliary stent during extraction can migrate and cause a colovaginal fistula. Documenting stent passage is crucial to prevent complications from retained biliary prostheses.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Biliary stent placement is common for choledocholithiasis.
  • Stent migration and perforation are known complications.

Observation:

  • A biliary stent was lost during routine extraction in the duodenum.
  • The patient developed a colovaginal fistula without documented stent passage.

Findings:

  • A retained biliary stent was found in the sigmoid colon, causing a fistula.
  • The patient required surgical repair including low anterior resection.

Implications:

  • Careful monitoring for fecal passage of dislodged biliary stents is essential.
  • Expectant management requires documentation of stent transit to avoid delayed complications.

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