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Ileal perforation due to migrated biliary stent: A case report
Lujain AlZoubi1, Basem Badwan2, Ahmad Fayyad2
1Faculty of Medicine, The University of Jordan, Amman, Jordan.
Summary
Biliary stent migration after endoscopic retrograde cholangiopancreatography (ERCP) can rarely cause ileal perforation. This case highlights a rare complication of ERCP, where a migrated stent led to intestinal damage.
Area of Science:
- Gastroenterology
- Surgical Complications
- Endoscopic Procedures
Background:
- Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure for diagnosing and treating biliary tract diseases.
- Biliary stent placement is frequently employed during ERCP to manage benign or malignant biliary obstructions.
- Complications, though rare, can arise from ERCP and associated interventions.
Observation:
- A 45-year-old female patient presented with a rare complication following ERCP.
- The patient had a history of ERCP with biliary stent placement.
- A migrated biliary stent was identified as the cause of the complication.
Findings:
- The migrated biliary stent caused a perforation in the ileum.
- Ileal perforation is an uncommon but serious consequence of biliary stent migration.
- This case underscores the potential for delayed complications from endoscopic biliary interventions.
Implications:
- Awareness of this rare complication is crucial for clinicians performing ERCP.
- Prompt diagnosis and management are essential for patients experiencing stent migration.
- Further research may explore preventative strategies or improved stent designs to mitigate migration risks.
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