Endoscopic closure of a duodenal perforation caused by early migration of a biliary plastic stent with an over-the-scope-clip

2021 ◽  
Vol 44 (2) ◽  
pp. 139-140
Author(s):  
Sónia Bernardo ◽  
Carlos Freitas ◽  
João Lopes ◽  
Carlos Noronha Ferreira ◽  
Rui Tato Marinho
2019 ◽  
Vol 12 (9) ◽  
pp. e230324 ◽  
Author(s):  
Khaled Jadallah ◽  
Bara Alzubi ◽  
Aroob Sweidan ◽  
Abdel R Almanasra

Endoscopic biliary stenting is a well-recognised method of palliation of malignant biliary obstruction. Distal stent migration causing duodenal perforation is an uncommon complication of this procedure and is usually delayed. Early stent migration resulting in duodenal perforation is extremely rare and can be easily overlooked. We present a case of stent migration and resultant intraperitoneal duodenal perforation that occurred 24 hours following plastic stent insertion for a malignant biliary stricture in a 63-year-old woman. The patient required emergent abdominal laparoscopy with the placement of intraperitoneal drain, followed by endoscopic extraction of the stent and closure of the defect using a through-the-scope clip. This case report addresses intraperitoneal duodenal perforation secondary to early migration of biliary stents. Special emphasis is placed on the importance of prompt diagnosis and the use of endoclips in the management of this serious complication of endoprosthesis.


2013 ◽  
Vol 24 (5) ◽  
pp. 436-440 ◽  
Author(s):  
Umit Bilge DOGAN ◽  
Mahmut Birol KESKIN ◽  
Gokhan SOKER ◽  
Mustafa Salih AKIN ◽  
Serkan YALAKI

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