DUODENAL PERFORATION INTO RETROPERITONEUM BY A BILIARY STENT
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
1 Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-198. PMCID: PMC1421129
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4 El Zein MH, Kumbhari V, Tieu A, et al. Duodenal perforation as a consequence of biliary stent migration can occur regardless of stent type or duration. Endoscopy. 2014;46:E281–E282. DOI: 10.1055/s-0034-1365790
5 Bui BT, Oliva VL, Ghattas G, et al. Percutaneous removal of a biliary stent after acute spontaneous duodenal perforation. Cardiovasc Intervent Radiol. 1995;18:200-202. PMID: 7648600
6 Miller G, Yim D, Macari M, et al. Retroperitoneal Perforation of the duodenum from biliary stent erosion. Cur Sur. 2005;62(5): 512-515. DOI: 10.1016/j.cursur.2005.03.011
2 Vezakis A, Fragulidis G, Polydorou A. Endoscopic retrograde cholangiopancreatography-related perforations: Diagnosis and management. World J Gastrointest Endosc. 2015;7(14): 1135-1141. DOI: 10.4253/wjge.v7.i14.1135
3 Issa H, Nahawi M, Bseiso B, Al-Salem A. Migration of a biliary stent causing duodenal perforation and biliary peritonitis. World J Gastrointest Endosc. 2013;5(10):523-526. DOI: 10.4253/wjge.v5.i10.523
4 El Zein MH, Kumbhari V, Tieu A, et al. Duodenal perforation as a consequence of biliary stent migration can occur regardless of stent type or duration. Endoscopy. 2014;46:E281–E282. DOI: 10.1055/s-0034-1365790
5 Bui BT, Oliva VL, Ghattas G, et al. Percutaneous removal of a biliary stent after acute spontaneous duodenal perforation. Cardiovasc Intervent Radiol. 1995;18:200-202. PMID: 7648600
6 Miller G, Yim D, Macari M, et al. Retroperitoneal Perforation of the duodenum from biliary stent erosion. Cur Sur. 2005;62(5): 512-515. DOI: 10.1016/j.cursur.2005.03.011
Published
2021-08-09
How to Cite
ALEGRE, Inês et al.
DUODENAL PERFORATION INTO RETROPERITONEUM BY A BILIARY STENT.
Revista Portuguesa de Cirurgia, [S.l.], n. 50, p. 75-78, aug. 2021.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/729>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.34635/rpc.729.
Section
Clinical Case
