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

Demetrios Paikos; Anthia Gatopoulou; John Moschos; Konstantinos Soufleris; Anestis Tarpagos; Ioannis Katsos

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

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

Authors

Demetrios Paikos¹, Anthia Gatopoulou, John Moschos, Konstantinos Soufleris, Anestis Tarpagos, Ioannis Katsos

Affiliation

¹ Gastroenterology Department, Theagenio Hospital, Thessaloniki, Greece.

PMID: 17205153

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*