Migrated biliary stent predisposing to fatal ERCP-related perforation of the duodenum.
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.
Paikos
Demetrios
D
Gastroenterology Department, Theagenio Hospital, Thessaloniki, Greece.
Gatopoulou
Anthia
A
Moschos
John
J
Soufleris
Konstantinos
K
Tarpagos
Anestis
A
Katsos
Ioannis
I
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*