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Size does matter: when a large plastic biliary stent ends up in the root of the mesentery

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Abstract

Duodenal perforations due to biliary stenting migration, although rare, can occur. We report a unique case of duodenal perforation due to a large in length plastic stent with no (or marginal) migration, which ended up in the root of the mesentery, explaining the normal laboratory values and minimal imaging findings observed. Any clinical symptom during the postprocedural period should raise the suspicion of a major complication and prompt quick management decisions.

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Authors and Affiliations

  1. Department of Gastroenterology, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece

    Konstantinos Ekmektzoglou, Periklis Apostolopoulos & Georgios Alexandrakis

  2. Second Department of Surgery, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece

    Efstathios Nikou & Konstantinos Manesis

  3. Department of Radiology, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece

    Despina Grigoraki

  4. Attica, Greece

    Konstantinos Ekmektzoglou

Authors
  1. Konstantinos Ekmektzoglou
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  2. Efstathios Nikou
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  3. Periklis Apostolopoulos
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  4. Despina Grigoraki
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  5. Konstantinos Manesis
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  6. Georgios Alexandrakis
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Corresponding author

Correspondence to Konstantinos Ekmektzoglou.

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The authors declare that they have no conflict of interest.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).

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Informed consent was obtained from the patients included in the study.

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Ekmektzoglou, K., Nikou, E., Apostolopoulos, P. et al. Size does matter: when a large plastic biliary stent ends up in the root of the mesentery. Clin J Gastroenterol 12, 102–105 (2019). https://doi.org/10.1007/s12328-018-0914-9

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  • DOI: https://doi.org/10.1007/s12328-018-0914-9

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