title: Lower intestinal hemorrhage due to a dislodged metallic stent.
abstract: A case of a 72 year old man is reported who developed a choledochoduodenal fistula due to distal biliary obstruction by a tumor of the papilla. A metal stent, introduced through this fistula into the common bile duct, dislodged and passed spontaneously with the feces. Plastic stents were then successfully inserted.
authors.affiliation: Dept. of Medicine, Ruttonjee Hospital, Hong Kong.
authors.forename: S Y
authors.initials: SY
authors.lastname: Wong
authors.forename: F H
authors.initials: FH
authors.lastname: Ng
mesh_terms: D000368:Aged; D001658:Biliary Fistula / Q000628:therapy; D003108:Colonic Diseases / Q000209:etiology*; D003137:Common Bile Duct Diseases / Q000628:therapy; D004378:Duodenal Diseases / Q000628:therapy; D005548:Foreign-Body Migration / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007412:Intestinal Fistula / Q000628:therapy; D008297:Male; D012007:Rectum; D015607:Stents / Q000009:adverse effects*