Okoli, Fidelis, M.D.¹; Golfeyz, Shmuel, M.D.²; Hamshow, Mohammad, M.D., MRCS, FACS³; Mayer, Ira, M.D., FACP, FACG, AGAF², NYSGEF; Iswara, Kadirawel, M.D., FACP, FACG, AGAF²

¹Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, New York University Langone Hospital, Long Island, New York
²Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maimonides Medical Center, Brooklyn, New York
³Department of Surgery, Division of Hepatobiliary Surgery, Maimonides Medical Center, Brooklyn, New York

*Corresponding Author: Okoli, Fidelis, M.D, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, New York University Langone Hospital, Long Island, New York.

Received: January 12, 2022; Published: February 16, 2022

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) with biliary stent placement is a common procedure performed to reestablish bile flow for conditions in which there is obstruction of the common bile, hepatic and pancreatic ducts. Stent migration is a common occurrence and many measures, such as creation of internal flanges and pigtails, have been taken to mitigate this from happening. Stent migration with intestinal perforation is a rare but well recognized life-threatening late complication. Herein, we report a case of a biliary stent causing a duodenal perforation that was diagnosed laparoscopically four days after stent placement. Additionally, we will review the literature on presentation, diagnosis and management of intestinal perforation from biliary stent placement.

Keywords: Endoscopic Retrograde Cholangiopancreatography; Biliary Stent; Intestinal Perforation; Abdominal Pain; Primary Sclerosing Cholangitis

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Citation

Citation: Okoli, Fidelis, M.D., et al. “Early Duodenal Perforation After Biliary Stent Placement. A Case Report and Literature Review". Acta Scientific Gastrointestinal Disorders 5.3 (2022): 10-14.

Copyright

Copyright: © 2022 Okoli, Fidelis, M.D., et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.