title: Intestinal perforation in a parastomal hernia by a migrated plastic biliary stent.
abstract: Organ perforation is a well-described complication of plastic biliary stent placement [1, 2, 3, 4, 5, 6, 7, 8, 9, 10][1-10]. Most commonly, a stent will cause duodenal perforation while still in the area of the biliary system. This often occurs in the setting of a periampullary diverticulum. Less frequently, a perforation occurs as a result of stent migration into the distal lumenal gastrointestinal tract. These cases have involved a migrated stent impacting at the level of the ileum or a sigmoid colon diverticulum. A plastic biliary stent causing perforation inside an incarcerated small bowel hernia sac has been reported [10]. We describe the first reported case of a plastic biliary stent causing perforation inside a parastomal hernia.
authors.affiliation: Division of Gastrointestinal and Hepatobiliary Medicine, Worcester Medical Center/Fallon Clinic, University of Massachusetts Medical School, 20 Worcester Center, Boulevard, Worcester, MA 01608, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Levey
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001659:Biliary Tract / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods; D003125:Colostomy / Q000379:methods; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000473:pathology* / Q000601:surgery; D042882:Gallstones / Q000601:surgery; D006555:Hernia, Ventral / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D008297:Male; D010969:Plastics / Q000009:adverse effects*; D015607:Stents / Q000009:adverse effects*
chemical_list: D010969:Plastics