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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Jejunal perforation secondary to migrated biliary stent
Renee Tabone1, Peter Yuide1, Matthew Burstow1
1General Surgery, Queensland Health, Logan Hospital, Meadowbrook, Queensland 4131, Australia.
Journal of Surgical Case Reports
|March 24, 2021
Summary
A migrated biliary stent caused a perforated incisional hernia in an elderly woman. Surgical intervention was required for stent removal and bowel repair, highlighting risks of conservative management for migrated stents.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Medical Device Complications
Background:
- A patient with a history of cholecystectomy experienced biliary stent migration.
- Conservative management was initially chosen for the migrated stent.
Observation:
- The patient presented with acute left-sided abdominal pain.
- Imaging revealed a perforated incisional hernia containing the migrated stent.
Findings:
- Emergency laparotomy successfully removed the migrated biliary stent.
- The procedure included adhesiolysis, small bowel resection, and abdominal wall closure.
Implications:
- Consider patient risk factors for perforation when deciding on conservative management for migrated stents.
- Early surgical intervention may be necessary for migrated biliary stents to prevent complications.
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