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Migrated biliary stent presenting as a sigmoid diverticulitis-case report
Karthik Kittappa1, Karthik Maruthachalam2, Roger Brookstein2
1Department of Surgery, Royal Preston Hospital, Preston, PR2 9HT UK.
The Indian Journal of Surgery
|January 16, 2014
Summary
Biliary stent migration can cause rare sigmoid diverticulum perforation. This complication should be considered in patients with lower abdominal pain after ERCP with stent placement.
Area of Science:
- Gastroenterology
- Surgical Complications
Background:
- Biliary stent placement is a common procedure following laparoscopic cholecystectomy to manage bile leaks.
- Complications, though rare, can arise from indwelling biliary stents.
- Sigmoid diverticulum perforation is an uncommon but serious potential sequela.
Purpose of the Study:
- To report a rare case of sigmoid diverticulum perforation secondary to biliary stent migration.
- To highlight the importance of considering this complication in the differential diagnosis of abdominal pain post-ERCP.
Main Methods:
- Case report detailing a patient's presentation and management.
- Review of relevant medical literature regarding biliary stent complications and diverticular disease.
Main Results:
- The patient presented with symptoms consistent with diverticulitis 18 months after biliary stent insertion.
- The underlying cause was identified as biliary stent migration leading to sigmoid diverticulum perforation.
Conclusions:
- Biliary stent migration is a potential cause of sigmoid diverticulum perforation.
- Clinicians should maintain a high index of suspicion for this rare complication in patients with relevant history and symptoms.
- Early recognition and appropriate management are crucial for favorable outcomes.
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