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[Biliary endoprosthesis causing ileal perforation--a case report].

Robert Kosiński1, Szymon Olędzki2, Andrzej Modrzejewski3

  • 1Department of General Surgery, Multispecialist Independent Public Healthcare Centre, Stargard Szczeciński.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|November 27, 2015
PubMed
Summary

A dislocated biliary endoprosthesis caused ileal perforation in a patient, likely due to prolonged placement. Surgical removal resolved the issue, highlighting a rare but important clinical consideration.

Keywords:
biliary endoprosthesisbiliary track surgical proceduresintestinal perforation

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Device Complications

Background:

  • Biliary fistulas following laparoscopic cholecystectomy can necessitate endoprosthesis implantation.
  • Endoprosthesis placement aims to manage complications like biliary leaks.
  • Long-term indwelling of biliary endoprostheses is not standard practice.

Observation:

  • A 59-year-old female patient presented with ileal perforation.
  • The perforation was attributed to a dislocated biliary endoprosthesis.
  • The endoprosthesis had been in place for two years post-cholecystectomy.

Findings:

  • Dislocation of the biliary endoprosthesis led to ileal perforation.
  • Prolonged presence of the endoprosthesis appeared to be the causative factor.
  • Surgical intervention and prosthesis removal resulted in patient recovery.

Implications:

  • Ileal perforation is a rare but serious complication of dislocated biliary endoprostheses.
  • Clinicians must consider endoprosthesis migration as a potential cause of gastrointestinal perforation.
  • Awareness of this rare complication is crucial for patient safety and management.