Related Experiment Video
Updated: Jul 5, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Double sigmoid colon perforation by a migrated biliary stent
1Department of Surgery, St. Josef Hospital, Ruhr University Bochum, Bochum, Germany. o.belyaev1@klinikum-bochum.de
Acta Chirurgica Belgica
|April 17, 2008
Summary
A migrated plastic biliary stent caused a double sigmoid colon perforation in a female patient. Early surgery enabled successful reconstruction, highlighting the need for vigilance regarding stent migration complications.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Biliary stents are increasingly used for benign biliary obstruction.
- Diverticulosis of the colon is a common condition, particularly in older populations.
- Stent migration is a known, albeit infrequent, complication of biliary stenting.
Observation:
- A female patient presented with a covered double perforation of the sigmoid colon.
- The perforation was attributed to a plastic biliary stent inserted 3 weeks prior.
- The patient had coexisting expressed diverticulosis of the colon.
Findings:
- The migrated biliary stent perforated the sigmoid colon, exacerbated by diverticulosis.
- Absence of peritonitis and prompt surgical intervention facilitated successful primary reconstruction post-colonic resection.
- Histopathological examination confirmed the stent's role in the perforation.
Implications:
- Surgeons must maintain a high index of suspicion for biliary stent migration and gastrointestinal perforation.
- This case underscores the importance of considering stent-related complications in patients with pre-existing colonic conditions.
- Enhanced vigilance and diagnostic protocols are necessary given the rising use of biliary stents.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:22Esophageal Perforation-I: Introduction
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:27Diverticular Disease of the Colon
Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...