DUODENAL PERFORATION INTO RETROPERITONEUM BY A BILIARY STENT

Authors

  • Inês Alegre General Surgery Resident, Serviço de Cirurgia Geral I, Hospital São Francisco Xavier – Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal http://orcid.org/0000-0001-9136-8510
  • Jorge Rebanda General Surgery Attending Physician, Serviço de Cirurgia Geral I, Hospital São Francisco Xavier – Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal http://orcid.org/0000-0001-9160-5678
  • Carlos Resende Serviço de Cirurgia Geral I, General Surgery Attending Physician, Hospital São Francisco Xavier – Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal http://orcid.org/0000-0001-6781-6811
  • Carlos Neves Chief of General Surgery, Serviço de Cirurgia Geral I, Hospital São Francisco Xavier – Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal http://orcid.org/0000-0001-8857-361X

DOI:

https://doi.org/10.34635/rpc.729

Keywords:

CPRE, biliary stent, duodenal perforation

Abstract

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.

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References

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Published

2021-08-09

Issue

No. 50 (2021): Number 50 - March 2021

Section

Clinical Case

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