TY - JOUR AU - Alegre, InĂªs AU - Rebanda, Jorge AU - Resende, Carlos AU - Neves, Carlos PY - 2021/08/09 TI - DUODENAL PERFORATION INTO RETROPERITONEUM BY A BILIARY STENT JF - Revista Portuguesa de Cirurgia; No 50 (2021): Number 50 - March 2021DO - 10.34635/rpc.729 KW - N2 - Migration of endoscopically placed biliary stents is a well-recognized complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation by a biliary stent is an uncommon but hazardous complication associated with a high mortality rate. It can be either retroperitoneal, causing biloma, or intraperitoneal leading to biliary peritonitis. Duodenal perforation into the retroperitoneum presents itself as a non-specific condition. It requires an extremely high index of suspicion for its early diagnosis. A delayed diagnosis seriously aggravates the prognosis. We report a case of mortality secondary to a duodenal perforation into retroperitoneum by a biliary stent endoscopically placed with an atypical symptomatology. UR - https://revista.spcir.com/index.php/spcir/article/view/729