Gastroenterologie
a hepatologie

Perforation of colon sigmoideum as a delayed complication of ERCP

Polina Politová¹, Ladislav Douda¹, Lukáš Štrincl¹, Zdena Zádorová²

+ Affiliation
¹ Gastroenterologická ambulance, Nemocnice Tábor, a.s.
² II. interní klinika 3. LF UK a FNKV, Praha

Summary

Pancreatobiliary stent migration is not a common complication, mostly without serious consequences, but sometimes causing intestinal perforation. The authors describe migration of the DB stent into the sigmoid with subsequent completely asymptomatic perforation of the bowel wall. Due to the patient’s clinical condition and age, the perforation was successfully treated endoscopically.

Keywords

biliary stent, ERCP, migration, complication, perforation

To read this article in full, please register for free on this website.

Benefits for subscribers

Benefits for logged users

Literature

1. Dumonceau JM, Heresbach D, Devière J et al; European Society of Gastrointestinal Endoscopy. Biliary stents: models and methods for endoscopic stenting. Endoscopy 2011; 43(7): 617–626. doi: 10.1055/s-0030-1256315.
2. Sleisenger MH, Feldman M, Friedman LS et al. Sleisenger & Fordtran‘s Gastrointestinal and Liver Disease: Pathophysiology, Dia­gnosis, Management. 8th ed. Philadelphia: Saunders 2006.
3. Jones M, George B, Jameson J et al. Biliary stent migration causing perforation of the caecum and chronic abdominal pain. BMJ Case Rep 2013; 2013: bcr2013009124. doi: 10.1136/bcr-2013-009124.
4. Malgras B, Pierret C, Tourtier JP et al. Double Sigmoid colon perforation due to migration of a biliary stent. J Visc Surg 2011; 148(5): e397–e399. doi: 10.1016/j.jviscsurg.2011.09.011.
5. Dumonceau JM, Tringali A, Blero D et al; European Society of Gastrointestinal Endoscopy. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012; 44(3): 277–298. doi: 10.1055/ s-0031-1291633.
6. Katsinelos P, Kountouras J, Paroutoglou G et al. Migration of plastic biliary stents and endoscopic retrieval: an experience of three referral centers. Surg Laparosc Endosc Percutan Tech 2009; 19(3): 217–221. doi: 10.1097/SLE.0b013e3181a031f5.
7. Park TY, Hong SW, Oh HC et al. Colonic diverticular perforation by a migrated biliary stent: A case report with literature review. Medicine (Baltimore) 2021; 100(52): e28392. doi: 10.1097/MD.0000000000028392.
8. Tao Y, Long J. Sigmoid colon perforation caused by migrated plastic biliary stents: a case report. Int J Colorectal Dis 2021; 36(1): 199–201. doi: 10.1007/s00384-020-03728-2.
9. Wasserbauer M, Lochmannová J, Keil R. OVESCO clip as a solution of an ERCP complication. Gastroent Hepatol 2014; 68(6): 485–487. doi: 10.14735/amgh2014485.
10. Paspatis GA, Dumonceau JM, Barthet M et al. Dia­gnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2014; 46(8): 693–711. doi: 10.1055/s-0034-1377531.