Ekmektzoglou K, Nikou E, Apostolopoulos P, Grigoraki D, Manesis K, Alexandrakis G. Size does matter: when a large plastic biliary stent ends up in the root of the mesentery.
Clin J Gastroenterol 2018;
12:102-105. [PMID:
30284196 DOI:
10.1007/s12328-018-0914-9]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 09/21/2018] [Indexed: 12/17/2022]
Abstract
Duodenal perforations due to biliary stenting migration, although rare, can occur. We report a unique case of duodenal perforation due to a large in length plastic stent with no (or marginal) migration, which ended up in the root of the mesentery, explaining the normal laboratory values and minimal imaging findings observed. Any clinical symptom during the postprocedural period should raise the suspicion of a major complication and prompt quick management decisions.
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