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Sigmoid colon perforation caused by migrated plastic biliary stents: a case report
1Department of General Surgery, People's Hospital of Banan District, Chongqing, 401320, China.
International Journal of Colorectal Disease
|September 1, 2020
Summary
Plastic biliary stent migration after ERCP can cause rare but life-threatening sigmoid colon perforation. Increased awareness of abdominal pain post-ERCP is crucial for prompt diagnosis and management of this complication.
Area of Science:
- Gastroenterology
- Surgical Complications
- Medical Device Safety
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is vital for managing biliary and pancreatic diseases.
- Plastic biliary stents are frequently used, but complications like migration can occur.
- Intestinal perforation is a rare but serious complication of biliary stent migration.
Observation:
- A patient presented with sudden lower abdominal pain post-ERCP and biliary stent placement.
- CT imaging revealed sigmoid colon perforation and free air, indicating a foreign body injury.
- Emergency surgery confirmed the migrated stent as the cause of perforation.
Findings:
- Sigmoid colon perforation due to migrated plastic biliary stent.
- Successful surgical management with sigmoid colectomy and sigmoidostomy.
- Literature review highlights the rarity and severity of this complication.
Implications:
- Highlights the need for heightened clinical suspicion for stent migration in post-ERCP abdominal pain.
- Emphasizes the importance of considering rare complications in diagnosing abdominal pain of unknown origin.
- Underscores the critical role of prompt diagnosis and surgical intervention in managing intestinal perforation from stent migration.
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