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Transhepatic intraperitoneally migrated biliary stent: A rare finding during laparoscopic cholecystectomy
Ahmad Ozair1, Faraz Ahmad1, Surender Kumar1
1Department of General Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Journal of Minimal Access Surgery
|December 23, 2020
Summary
Biliary endoprostheses are common, but stent migration is a risk. This case details rare transhepatic intraperitoneal migration of a double-pigtail stent, highlighting potential complications.
Area of Science:
- Gastroenterology and Hepatology
- Minimally Invasive Procedures
- Medical Device Complications
Background:
- Endoscopic biliary stenting is increasingly common globally.
- Biliary endoprostheses (stents) are used to treat biliary obstructions.
- Stent migration is a known complication, occurring in up to 10% of cases.
Observation:
- This report describes a rare case of stent migration.
- A double-pigtail plastic stent migrated from the biliary tract.
- Migration occurred transhepatically into the intraperitoneal space.
Findings:
- Proximal stent migration can cause significant clinical issues.
- Transhepatic intraperitoneal migration is an unusual and potentially severe complication.
- Literature review on biliary endoprosthesis migration is presented.
Implications:
- Understanding rare migration patterns is crucial for managing biliary endoprostheses.
- This case highlights the need for vigilance regarding stent placement and potential complications.
- Improved stent designs or fixation methods may reduce migration risks.
