Gastrointestinal hemorrhage due to duodenal erosion by a biliary wallstent

D J Roebuck; P Stanley; M D Katz; R L Parry; M A Haight

doi:10.1007/s002709900213

Gastrointestinal hemorrhage due to duodenal erosion by a biliary wallstent

Cardiovasc Intervent Radiol. 1998 Jan-Feb;21(1):63-5. doi: 10.1007/s002709900213.

Authors

D J Roebuck¹, P Stanley, M D Katz, R L Parry, M A Haight

Affiliation

¹ Department of Radiology, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA.

PMID: 9473549
DOI: 10.1007/s002709900213

Abstract

A self-expanding metallic stent (Wallstent) was used to relieve obstruction of the common bile duct in a young male with a desmoplastic small cell tumor of the abdomen. Two months after insertion and following a course of chemotherapy the lower end of the stent eroded the mucosa of the second part of the duodenum causing severe gastrointestinal hemorrhage which necessitated laparotomy and trimming of the stent. This complication may have been due to shrinking of the tumor as well as thrombocytopenia following chemotherapy.

Publication types

Case Reports

MeSH terms

Abdominal Neoplasms / complications
Abdominal Neoplasms / drug therapy
Abdominal Neoplasms / surgery
Adolescent
Chemotherapy, Adjuvant
Cholestasis, Extrahepatic / complications
Cholestasis, Extrahepatic / diagnosis
Cholestasis, Extrahepatic / surgery
Common Bile Duct
Endoscopy, Digestive System
Follow-Up Studies
Gastrointestinal Hemorrhage / diagnosis
Gastrointestinal Hemorrhage / etiology*
Gastrointestinal Hemorrhage / surgery
Humans
Male
Postoperative Complications* / diagnosis
Postoperative Complications* / surgery
Reoperation
Stents / adverse effects*