Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 6

Biliary Stent Migration Revealed by Rectal Bleeding: A Case Report

Benhamdane Ahlame*, Addajou Tarik, Aourarh Benayad, Sair Asmae, Mrabti Samir, Berraida Red, El Koti Ilham, Rouibaa Fedoua, Benkirane Ahmed and Seddik Hassan

Department of Gastro Enterolgy II, Military Hospital Mohamed V, Morocco

*Corresponding Author: Benhamdane Ahlame, Department of Gastro Enterolgy II, Military Hospital Mohamed V, Morocco.

Received: May 02, 2022; Published: May 20, 2022

×

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

×

References

  1. Hogendorf P., et al. “Migrated plastic biliary stent causing colon perforation: analysis of emergency admission and literature review”. Postępy Nauk Medycznych 2A (2018): 42-46.
  2. Christensen M., et al. “Complications of ERCP: a prospective study”. Gastrointestinal Endoscopy5 (2004): 721-731.
  3. Melita G., et al. “Duodenal perforation secondary to biliary stent dislocation: a case report and review of the literature”. Case Reports in Dermatology 1 (2005): 92-97.
  4. Aliperti G. “Complications related to diagnostic and therapeutic endoscopic retrograde cholangiopancreatography”. Gastrointestinal Endoscopy Clinics of North America 6 (1996): 379-407.
  5. Jones M., et al. “Biliary stent migration causing perforation of the caecum and chronic abdominal pain”. BMJ Case Reports (2013).
  6. Cerisoli C., et al. “Implantation of migrated biliary stents in the diges- tive tract”. HPB (Oxford) 5 (2003): 180-182.
  7. Levy MJ., et al. “Palliation of malignant extrahepatic biliary obstruction with plastic versus expandable metal stents: An evidence- based approach”. Clinical Gastroenterology and Hepatology 2 (2004): 273-285.
  8. Shim CS., et al. “Preliminary results of a new covered biliary metal stent for malignant biliary obstruction”. Endoscopy 30 (1998): 345-350.
  9. Rey JF., et al. “French Society of Digestive Endoscopy. Guidelines of the French Society of Digestive Endoscopy: biliary stenting”. Endoscopy 34 (2002): 169-173.
  10. Kawaguchi Y., et al. “Risk factors for proximal migration of biliary tube stents”. World Journal of Gastroenterology 20 (2014): 1318-1324.
  11. Arhan M., et al. “Migration of biliary plastic stents: experience of a tertiary center”. Surgical Endoscopy4 (2009): 769-775.
  12. Eric M Yoshida., et al. “Abdominal pain and rectal bleeding as a complication of biliary stent migration in a liver transplant recipient”. 47.5 (1988): 418-420.
  13. Wang X., et al. “Duodenal perforations secondary to a migrated biliary plastic stent successfully treated by endoscope: case-report and review of the literature”. MC Gastroenterology 20 (2020): 149.
  14. Yong Tao et Jiegen Long. “Sigmoid colon perforation caused by migrated plastic biliary stents: a case report”. International Journal of Colorectal Disease (2020).
  15. Johanson JF., et al. “Incidence and risk factors for biliary and pancreatic stent migration”. Gastrointestinal Endoscopy 38 (1992): 341-346.
  16. Marceno B and Bonnano C. “Metallic biliary endoprosthesis causing duodenal perforation and acute upper gastrointes- tinal bleeding”. Gastrointestinal Endoscopy RH (1994): 257-258.
  17. Yoshida E and Steinbrecher V. “Abdominalpainandrectal bleeding as a complication of biliary stent migration in a liver transplant recipient”. Gastrointestinal Endoscopy RU (1988): 418-422.
  18. Akbulut S., et al. “An unusual cause of ileal perforation: report of a case and literature review”. World Journal of Gastroenterology 15 (2009): 2672-2674.
  19. Alcaide N., et al. “Sigmoid perforation caused by a migrated biliary stent and closed with clips”. Endoscopy 2 (2012): UCTN:E274.
  20. Dumonceau J., et al. “Biliary stenting: Indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline”. Endoscopy 3 (2012): 277-298.
  21. Issa H., et al. “Migration of a biliary stent causing duodenal perforation and biliary peritonitis”. World Journal of Gastrointestinal Endoscopy 5 (2013): 523-526.
×

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.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 30, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US