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Updated: May 9, 2026
07:44
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Fractured metallic biliary stent causing obstruction and jejunal perforation
Manickam Neethirajan Saravanan1, Varughese Mathai, Dharmesh Kapoor
1Department of Surgical Gastroenterology, Global Hospital, Hyderabad, India. mnsaravanan@rediffmail.com
Asian Journal of Endoscopic Surgery
|July 25, 2013
Summary
Biliary stent fracture is a rare complication of biliary drainage. This case highlights a metallic stent fragment causing jejunal obstruction and perforation, requiring surgical intervention for retrieval and repair.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Surgical Gastroenterology
Background:
- Interventional internal biliary drainage is standard for biliary obstruction.
- Biliary metallic stents are used for malignant and benign strictures.
- Stent migration and fracture are rare but known complications.
Observation:
- A 50-year-old male presented with abdominal pain and vomiting 13 years post-hepaticojejunostomy.
- He had a transhepatic metallic stent for a benign anastomotic stricture.
- CT revealed a fractured stent segment obstructing the jejunum with perforation.
Findings:
- The fractured metallic stent segment caused jejunal obstruction and perforation.
- Surgical intervention was required for stent fragment retrieval and jejunal resection.
- The role of self-expanding metal stents for benign biliary strictures remains debated.
Implications:
- Symptomatic migrated biliary stents require timely retrieval, preferably endoscopically if accessible.
- Surgical intervention is necessary for complex cases involving perforation or failed endoscopic retrieval.
- Careful consideration of stent type and long-term management is crucial for benign biliary strictures.
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