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Updated: Feb 4, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
Size does matter: when a large plastic biliary stent ends up in the root of the mesentery
Konstantinos Ekmektzoglou1,2, Efstathios Nikou3, Periklis Apostolopoulos4
1Department of Gastroenterology, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece. ekmektzo@hotmail.com.
Abstract:
Duodenal perforations due to biliary stenting migration, although rare, can occur. We report a unique case of duodenal perforation due to a large in length plastic stent with no (or marginal) migration, which ended up in the root of the mesentery, explaining the normal laboratory values and minimal imaging findings observed. Any clinical symptom during the postprocedural period should raise the suspicion of a major complication and prompt quick management decisions.
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