title: Migrated biliary stent predisposing to fatal ERCP-related perforation of the duodenum.
abstract: ERCP may be associated with very serious and even fatal complications. Internal drainage with endoscopical prostheses has been used as a palliative treatment for malignant bile duct obstruction. We report a rare case of subcutaneous emphysema with a fatal outcome. The emphysema resulted from a perforation of a duodenal ulcer during ERCP due to a migrated biliary stent that had been previously endoscopically placed.
authors.affiliation: Gastroenterology Department, Theagenio Hospital, Thessaloniki, Greece.
authors.forename: Demetrios
authors.initials: D
authors.lastname: Paikos
authors.forename: Anthia
authors.initials: A
authors.lastname: Gatopoulou
authors.forename: John
authors.initials: J
authors.lastname: Moschos
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Soufleris
authors.forename: Anestis
authors.initials: A
authors.lastname: Tarpagos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Katsos
mesh_terms: D001650:Bile Duct Neoplasms / Q000150:complications / Q000473:pathology; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000150:complications / Q000556:secondary; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects* / Q000295:instrumentation; D004381:Duodenal Ulcer / Q000000981:diagnostic imaging / Q000209:etiology*; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries*; D017809:Fatal Outcome; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D041781:Jaundice, Obstructive / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D015607:Stents; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*