Endoscopic stents are widely used to facilitate biliary drainage in hepatic, biliary and pancreatic conditions. Migration of the stent is a potentially serious complication. We report a case of migration of a biliary stent to the sigmoid colon at which point the stent perforated the colon and become lodged subcutaneously. The patient was managed successfully by local exploration to retrieve the stent without bowel resection. We also review the literature on complications caused by migrated biliary stents.
RuinemansGM, van ZantenRA, RakicS, van den HoutJH, VenemanTF.Abdominal pain following placement of an endoprosthesis in the biliary duct. Nederlands Tijdschrift voor Geneeskunde2006; 150: 1466–1469.
2.
KleinU, WeissF, WittkugelO.Migration of a biliary Tannenbaum stent with perforation of a sigmoid diverticulum. Rofo: Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin2001; 173: 1057.
ElliottM, BolandS.Sigmoid colon perforation following a migrated biliary stent. ANZ J Surg2003; 73: 669–670.
7.
SoehendraN, Reynders-FrederixV.Palliative bile duct drainage: a new endoscopic method of introducing a transpapillary drain. Endoscopy1980; 12: 8–11.
8.
MuellerPR, FerrucciJTJr, TeplickSK, vanSonnenbergE, HaskinPH, ButchRJ, PapanicolaouN.Biliary stent endoprosthesis: analysis of complications in 113 patients. Radiology1985; 156: 637–639.
9.
BinmoellerKF, SeitzU, SeifertH.The tannenbaum stent: a new plastic biliary stent without side holes. American Journal of Gastroenterology1995; 90: 106–110.
10.
JohansonJF, SchmalzMJ, GeenenJE.Incidence and risk for biliary and pancreatic stent migration. Gastrointestinal Endoscopy1992; 38: 314–316.
11.
TarnaskyPR, CottonPB, BaillieJ, BranchMS, AffrontiJ, JowellP.Proximal migration of biliary stents: attempted endoscopic retrieval in forty-one patients. Gast Endosc1995; 42: 513–520.
12.
MelitaG, CurroG, IapichinoG, PrinciottaS, CucinottaE.Duodenal perforation secondary to biliary stent dislocation: a case report and review of the literature.
13.
JendresenMB, SvendsenLB.Proximal displacement of biliary stent with distal perforation and impaction in the pancreas. Endoscopy2001; 33: 195.
14.
TzovarasG, LiakouP, MakryiannisE, ParoutoglouG.Acute appendicitis due to appendiceal obstruction from a migrated biliary stent. Am J Gastroent2007; 102: 195–196.
MillerG, YimD, MacariM, HarrisM, ShamamianP.Retroperitoneal perforation of the duodenum from biliary stent erosion. Curr Surg2005; 62: 512–515.
17.
RosesLR, RamirezAG, SecoAL, BlancoES, AlonsoDI, AvilaS, LopezBU.Clip closure of a duodenal perforation secondary to a biliary stent. Gast Endosc2000; 51: 487–489.
18.
MoscaS, GalassoG.Duodenal perforation as a complication of an endoscopically placed biliary stent. Ital J Gastroent Hepatol1999; 31: 522.
19.
ShahOJ, KhanFA, RobanniI, WaniNA.Hepatic perforation: a complication of proximal biliary stent migrationEndoscopy2004; 36: 1040.
20.
LanteriR, NasoP, RapisardaC, SantangeloM, Di CataldoA, LicataA.Jejunal perforation for biliary stent dislocation. Am J Gastroent2006; 101: 908–909.
21.
MofidiR, AhmedK, MofidiA, JoyceWP, KhanZ.Perforation of ileum: an unusual complication of distal biliary stent migration. Endoscopy2000; 32(11): S67.
22.
NamdarT, RaffelAM, ToppSA, NamdarL, AlldingerI, SchmittM, KnoefelWT, EisenbergerCF.Complications and treatment of migrated biliary endoprostheses: A review of the literature. Wor J Gastroent2007; 13: 5397–5399.
LeveyJM.Intestinal perforation in a parastomal hernia by a migrated plastic biliary stent. Surg Endosc 200216: 1636–1639.
25.
AkimboyeF, LloydT, HobsonS, GarceaG.Migration of Endoscopic biliary stent and small bowel perforation within an incisional hernia. Surg Lap Endosc Perc Tech I2006; 16: 39–40.
26.
MastorakosDP, MilmanPJ, CohenR.An unusual complication of a biliary stent - small bowel perforation of an incarcerated hernia sac. Am J Gastroent1998; 93: 2533–2535.
27.
FioriE, MazzoniG, GalatiG, LutzuSE, CesareA, BononiM, BologneseA, TocciA.Unusual breakage of a plastic biliary prosthesis causing an enterocutaneous fistula. Surg Endosc2002; 16: 870.
WilhelmA, LangerC, ZoellerG, NustedeR, BeckerH.Complex colovesicular fistula: A severe complication caused by biliary stent migration. Gast Endosc2003; 57: 124–126.
30.
FigueirasRG, EchartMO, FigueirasAG, GonzalezGP.Colocutaneous fistula relating to the migration of a biliary stent. Eur J Gastroent Hepatol2001; 13: 1251–1253.
