Percutaneous retrieval of a biliary stent after migration and ileal perforation

Derek M. Culnan, Bryan J. Cicuto, Harjit Singh, Robert A. Cherry

Research output: Contribution to journalArticlepeer-review

Abstract

We present a case of a migrated biliary stent that resulted in a distal small bowel perforation, abscess formation and high grade partial small bowel obstruction in a medically stable patient without signs of sepsis or diffuse peritonitis. We performed a percutaneous drainage of the abscess followed by percutaneous retrieval of the stent. The entero-peritoneal fistula closed spontaneously with a drain in place. We conclude, migrated biliary stents associated with perforation distal to the Ligament of Trietz (LOT), may be treated by percutaneous drainage of the abscess and retrieval of the stent from the peritoneal cavity, even when associated with a large intra-abdominal abscess.

Original languageEnglish (US)
Article number6
JournalWorld Journal of Emergency Surgery
Volume4
Issue number1
DOIs
StatePublished - 2009

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine

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