Abstract

Background: Endoscopically deployed biliary stents are a well-established method for dealing with biliary diseases. Stent migration is a rare complication, most common with plastic stents. In most cases, the symptoms are abdominal pain, the clinical presentation with rectal bleeding remains an unusual situation.

Case report: We report the case of a 72-year-old female patient, was admitted to our department with choledocholithiasis. She underwent an ERCP. Cholangiography revealed a large stone > 15 mm. The endoscopic sphincterotomy was complicated by active bleeding not managed by standard endoscopic hemostasis methods, leading to the indication of a covered metal stent of 6cm/10mm. Three days later, the patient complained of abundant rectal bleeding. Abdominal computed tomography (CT) revealed that the biliary stent had migrated in the coecum. The case was managed by colonoscopic removal of the stent.

Conclusion: Biliary stents are the gold standard method for managing malignant and benign biliary obstructions. However, they are also subject to complications including stent migration. Consequently, adequate monitoring of patients after ERCP is important.

Keywords: Biliary Stent; Migration; Rectal Bleeding

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Citation

Citation: Benhamdane Ahlame., et al. “Biliary Stent Migration Revealed by Rectal Bleeding: A Case Report". Acta Scientific Gastrointestinal Disorders 5.6 (2022): 34-37.

Copyright

Copyright: © 2022 Benhamdane Ahlame., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.