Limits...
A Fatal Complication: Intestinal Perforation Secondary to Migration of a Biliary Stent.

Güngör G, Okur N - Pol J Radiol (2016)

Bottom Line: Stent insertion is widely performed to restore biliary drainage in hepatic, biliary, and pancreatic obstructive conditions.An abdominal multidetector computed tomography (MDCT) revealed a tubular foreign body density, compatible with intestinal perforation due to migration of the biliary stent.Biliary stent insertion becomes a more common procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Kahramanmaraş Necip Fazıl Şehir Hastanesi, Kahramanmaraş, Turkey.

ABSTRACT

Background: Stent insertion is widely performed to restore biliary drainage in hepatic, biliary, and pancreatic obstructive conditions. Intestinal perforation due to the migration of these stents is an extremely rare late-term complication that is associated with a high rate of mortality. The current report aimed at presenting the radiological findings of a case of extraluminal biliary stent migration into the pelvic region that caused intestinal perforation.

Case report: We report a case of an 85-year-old male with a history of previous stent insertion who presented with a sudden - onset severe abdominal pain. An abdominal multidetector computed tomography (MDCT) revealed a tubular foreign body density, compatible with intestinal perforation due to migration of the biliary stent.

Conclusions: Biliary stent insertion becomes a more common procedure. This serious complication must always be remembered in patients presenting with abdominal pain after stent insertion.

No MeSH data available.


Related in: MedlinePlus

In the bone window, the axial maximum intensity projection (MIP) image shows complete morphology of a tubular object in the peritoneum in the pelvic region (consistent with biliary stent).
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4836307&req=5

f3-poljradiol-81-170: In the bone window, the axial maximum intensity projection (MIP) image shows complete morphology of a tubular object in the peritoneum in the pelvic region (consistent with biliary stent).

Mentions: An 85-year-old male patient was admitted to our hospital with complaints of a sudden- onset severe abdominal pain, with a pre-diagnosis of acute pancreatitis on abdominal ultrasonography (US) and MDCT. The US examination was not optimal due to the patient’s noncooperation and the presence of intense gas artifacts. However, no free fluid was observed within the abdomen. An intravenous contrast agent could not be administered during MDCT scans due to elevated serum creatinine. An abdominal MDCT scan without the administration of a contrast agent showed pneumobilia, free fluid in all peritoneal compartments, and free air consistent with intestinal perforation (Figure 1). A tubular foreign body density with predominantly horizontal placement was observed in the pelvic region adjacent to the distal ileal loops in the supravesical area surrounded by free air and free fluid (Figures 2, 3). A thorough review of the patient’s medical history revealed that the patient underwent stent insertion approximately six months earlier due to a hepatobiliary disease, for which further details could not be obtained. The findings were considered to be consistent with intestinal perforation due to migration of the biliary stent. According to the information received later, the patient was discharged from hospital upon his request after refusing an operation and he died on the road after having left hospital.


A Fatal Complication: Intestinal Perforation Secondary to Migration of a Biliary Stent.

Güngör G, Okur N - Pol J Radiol (2016)

In the bone window, the axial maximum intensity projection (MIP) image shows complete morphology of a tubular object in the peritoneum in the pelvic region (consistent with biliary stent).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4836307&req=5

f3-poljradiol-81-170: In the bone window, the axial maximum intensity projection (MIP) image shows complete morphology of a tubular object in the peritoneum in the pelvic region (consistent with biliary stent).
Mentions: An 85-year-old male patient was admitted to our hospital with complaints of a sudden- onset severe abdominal pain, with a pre-diagnosis of acute pancreatitis on abdominal ultrasonography (US) and MDCT. The US examination was not optimal due to the patient’s noncooperation and the presence of intense gas artifacts. However, no free fluid was observed within the abdomen. An intravenous contrast agent could not be administered during MDCT scans due to elevated serum creatinine. An abdominal MDCT scan without the administration of a contrast agent showed pneumobilia, free fluid in all peritoneal compartments, and free air consistent with intestinal perforation (Figure 1). A tubular foreign body density with predominantly horizontal placement was observed in the pelvic region adjacent to the distal ileal loops in the supravesical area surrounded by free air and free fluid (Figures 2, 3). A thorough review of the patient’s medical history revealed that the patient underwent stent insertion approximately six months earlier due to a hepatobiliary disease, for which further details could not be obtained. The findings were considered to be consistent with intestinal perforation due to migration of the biliary stent. According to the information received later, the patient was discharged from hospital upon his request after refusing an operation and he died on the road after having left hospital.

Bottom Line: Stent insertion is widely performed to restore biliary drainage in hepatic, biliary, and pancreatic obstructive conditions.An abdominal multidetector computed tomography (MDCT) revealed a tubular foreign body density, compatible with intestinal perforation due to migration of the biliary stent.Biliary stent insertion becomes a more common procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Kahramanmaraş Necip Fazıl Şehir Hastanesi, Kahramanmaraş, Turkey.

ABSTRACT

Background: Stent insertion is widely performed to restore biliary drainage in hepatic, biliary, and pancreatic obstructive conditions. Intestinal perforation due to the migration of these stents is an extremely rare late-term complication that is associated with a high rate of mortality. The current report aimed at presenting the radiological findings of a case of extraluminal biliary stent migration into the pelvic region that caused intestinal perforation.

Case report: We report a case of an 85-year-old male with a history of previous stent insertion who presented with a sudden - onset severe abdominal pain. An abdominal multidetector computed tomography (MDCT) revealed a tubular foreign body density, compatible with intestinal perforation due to migration of the biliary stent.

Conclusions: Biliary stent insertion becomes a more common procedure. This serious complication must always be remembered in patients presenting with abdominal pain after stent insertion.

No MeSH data available.


Related in: MedlinePlus