Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582versão On-line ISSN 2619-6107
Resumo
HERRERA-SANCHEZ, Abraham Hernán; RODRIGUEZ-GOMEZ, Shadid A. e CHACON, Ricardo E.. Colonic perforation due to impacted biliary stent. rev. colomb. cir. [online]. 2024, vol.39, n.1, pp.168-172. Epub 11-Dez-2023. ISSN 2011-7582. https://doi.org/10.30944/20117582.2313.
Introduction.
Endoscopic placement of biliary stents is becoming more common every day, as it is currently one of the best options for the treatment of bile duct pathologies. One of the complications that can occur is the migration of the endoprostheses in up to 10.8% of patients, which in very rare cases can cause intestinal perforation.
Clinical case.
This is a 61-year-old female patient, who underwent endoscopic retrograde cholangiopancreatography five years ago for choledocholithiasis. She consulted due to abdominal pain, with a physical examination that upon palpation documented an acute abdomen and a palpable plastron in the left iliac fossa. The computed tomography revealed a foreign body at the level of the descending colon, with perforation. Exploratory laparotomy and colostomy were performed due to perforation of the sigmoid colon secondary to migrated biliary prosthesis.
Results.
The patient progressed favorably and six months later the colostomy was closed without complications.
Conclusions.
Patients who receive biliary stents require adequate follow-up to avoid complications that, although rare, may occur, such as intestinal migration with intestinal perforation. The treatment of these complications can be endoscopic, laparoscopic or laparotomy in case of severe complication.
Palavras-chave : choledocholithiasis; endoscopic retrograde cholangiopancreatography; prostheses and implants; intestinal perforation; surgical procedures.