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A Unique Management Strategy for Migrated Biliary Stent Causing Duodenal Perforation
Trent Walradt1, Marvin Ryou1, Raj Shah1
1Department of Gastroenterology, Brigham and Women's Hospital, Boston, MA.
Distal stent migration causing duodenal perforation is rare after endoscopic biliary plastic stent placement. This case describes expectant management of a migrated stent until a duodenocolic fistula formed, allowing for endoscopic removal.
Area of Science:
- Gastroenterology
- Endoscopy
- Biliary Interventions
Background:
- Endoscopic biliary plastic stent placement is a common procedure.
- Distal stent migration is an infrequent but serious complication.
- Duodenal perforation secondary to migrated stents requires careful management.
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