Duodenal perforation as a delayed complication of placement of a biliary endoprosthesis.
Duodenal perforation may occur at the time of insertion of a biliary endoprosthesis or following endoscopic manipulation of such a stent. The possibility of perforation as a late sequela of stent migration, after percutaneous placement of an endoprosthesis, however, has not been emphasized. In the authors' experience with a 12-F soft-stent endoprosthesis, duodenal perforation occurred in four of 50 patients following initially satisfactory stent placement. One intraperitoneal perforation necessitated immediate surgical intervention. The three retroperitoneal perforations were treated conservatively.
Gould
J
J
Department of Radiology, Mount Sinai Hospital, New York, NY.
Train
J S
JS
Dan
S J
SJ
Mitty
H A
HA
D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D004386:Duodenum / Q000293:injuries*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants / Q000009:adverse effects*; D013997:Time Factors