Migrated biliary stent predisposing to fatal ERCP-related perforation of the duodenum

J Gastrointestin Liver Dis. 2006 Dec;15(4):387-8.

Abstract

ERCP may be associated with very serious and even fatal complications. Internal drainage with endoscopical prostheses has been used as a palliative treatment for malignant bile duct obstruction. We report a rare case of subcutaneous emphysema with a fatal outcome. The emphysema resulted from a perforation of a duodenal ulcer during ERCP due to a migrated biliary stent that had been previously endoscopically placed.

Publication types

  • Case Reports

MeSH terms

  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / pathology
  • Bile Ducts, Intrahepatic
  • Cholangiocarcinoma / complications
  • Cholangiocarcinoma / secondary
  • Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
  • Cholangiopancreatography, Endoscopic Retrograde / instrumentation
  • Duodenal Ulcer / diagnostic imaging
  • Duodenal Ulcer / etiology*
  • Duodenum / diagnostic imaging
  • Duodenum / injuries*
  • Fatal Outcome
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology*
  • Humans
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / etiology*
  • Jaundice, Obstructive / diagnostic imaging
  • Jaundice, Obstructive / etiology
  • Jaundice, Obstructive / therapy*
  • Male
  • Middle Aged
  • Palliative Care
  • Stents
  • Subcutaneous Emphysema / diagnostic imaging
  • Subcutaneous Emphysema / etiology*