A RARE CAUSE OF COLONIC PERFORATION

  • Ana Rita Martins Assistente Hospitalar de Cirurgia Geral, Hospital São Francisco Xavier do Centro Hospitalar Lisboa Ocidental http://orcid.org/0000-0002-6692-4498
  • Joana Frazão Internato Complementar de Cirurgia Geral, Hospital Fernando Fonseca http://orcid.org/0000-0003-2133-1434
  • Bruno Pinto Assistente Hospital em Cirurgia Geral, Hospital Prof. Doutor Fernando Fonseca, EPE
  • António Godinho Assistente Hospital Graduado em Cirurgia Geral, Hospital Prof. Doutor Fernando Fonseca, EPE
  • Vítor Nunes Assistente Hospital Graduado Sénior em Cirurgia Geral, Diretor de Serviço, Hospital Prof. Doutor Fernando Fonseca, EPE

Abstract





The use of biliary stent has become increasingly common in clinical practice. Sigmoid colon perforation from a migrated biliary stent is a rare complication. A high level of suspicion is essential for an adequate diagnosis, in which surgery have an essential role. We present a case of choledocholithiasis treated by endoscopic retrograde cholangiopancreatography with a biliary plastic stent placement. Subsequently, presents to the Emergency Department with sigmoid colon perforation from migrated biliary stent. The patient was proposed to emergent laparotomy and Hartmann ́s operation was performed.





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References

1. Alcaide N, Lorenzo-Pelayo S, Herraz-Bachiller MT. Sigmoid perforation caused by a migrated biliary stent and closed with clips. Endoscopy 2012; 44: 274; DOI: : 10.1055/s-0032-1309719

2. Arhan M, Odemir B, Parlak E. Migration of biliary plastic stents: experience of a tertiary center. Surg Endosc 2009; 23: 769-775; DOI: 10.1007/s00464-008-0067-x

3. Bagul A, Pollard C, Dennison A. A review of problems following insertion of biliary stents illustrated by na unusual complication. Ann R Coll Surg England 2010; 92; doi.org/10.1308/147870810X12659688852239

4. Chittleborough TJ, Mgaieth S, Kirkby B, Zakon J. Remove the migrated stent: sigmoid colon perforation from migrated biliary stent. ANZJSurg 2014; doi.org/10.1111/ans.12796

5. Hogendorf P, Skulimowski A, Durczynski A. Migrated plastic biliary stent causing colon perforation: analysis of emergency admission and literature review. Post N Med 2018; XXXI: 42-46; doi.org/10.25121/PNM.2018.31.2A.42

6. Jafferbhoy SF, Scriven P, Bannister J, Shiwani MH, Hurlston P. Endoscopic management of migrated biliary stent causing sigmoid perforation. BJM Case Reports 2011; DOI: 10.1136/bcr.04.2011.4078

7. Marcos, P, Capelao G, Martins C et al. Sigmoid perforation by migrated plastic biliary stent. Protuguese Journal of Gastroenterology. 2020; 27: 215-218; DOI: 10.1159/000503076

8. Namdar T, Raffel AM, Topp SA, Namdar L, Alldinger I, Schmitt M et al. Complications and treatment of migrated biliary endoprostheses: a review of the literature. World J Gastroenterol 2007; 13 (40): 5397-5399; DOI: 10.3748/wjg.v13.i40.5397

9. Riccardi M, Deters K, Jabbar F. Sigmoid Diverticulitis and Perforation Secondary to Biliary Stent Migration. Case Reports in Surgery 2019; doi.org/10.1155/2019/2549170

10. Siaperas P, Ioannidis A, Skarpas A, Angelopoulos A, Drikos I, Karanikas I. A rare cause for Hartmann ́s procedure due to biliary stent migration: a case report. International Journal of Surgery Case Reports 2017; 31: 83-85; doi.org/10.1016/j.ijscr.2017.01.016

11. Tao Y, Long J. Sigmoid colon perforation caused by migrated plastic biliary stents: a case report. International Journal of Colorectal Disease. 2020; DOI: 10.1007/s00384-020-03728-2

12. Virgilio E, Pascarella G, Scandavini CM, Frezza B et al. Colonic perforations caused by migrated plastic biliary stents. Korean J Radiol 2015; 16: 444-445; DOI: 10.3348/kjr.2015.16.2.444
Published
2023-03-19
How to Cite
MARTINS, Ana Rita et al. A RARE CAUSE OF COLONIC PERFORATION. Revista Portuguesa de Cirurgia, [S.l.], n. 54, p. 91-94, mar. 2023. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/894>. Date accessed: 21 may 2024. doi: https://doi.org/10.34635/rpc.894.
Section
Clinical Case