Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.523
Revised: August 26, 2013
Accepted: September 3, 2013
Published online: October 16, 2013
Migration of endoscopically placed biliary stents is a well-recognized complication of endoscopic retrograde cholangiopancreatography. Less than 1% of migrated stents however cause intestinal perforation. We present a case of a migrated biliary stent that resulted in duodenal perforation and biliary peritonitis.
Core tip: Biliary stent migration complicated by duodenal perforation is rare and should be included in the differential diagnosis of those presenting with abdominal pain after endoscopic retrograde cholangiopancreatography with stent placement and physicians caring for these patients should be aware of such complication. To reduce the chance of stent migration, endoscopists should assess for the size and shape of the stent in each patient.