A devastating complication: duodenal perforation due to biliary stent migration.
Endoscopic retrograde cholangiopancreatography (ERCP) plays an important diagnostic and potentially therapeutic role in the management of a broad range of biliary and pancreatic disorders. However, it is an invasive procedure with an associated complication rate in the vicinity of 5% to 15% and mortality rate of 1%. We present an unusual case of a patient who sustained a stent-related duodenal perforation after undergoing ERCP. We reviewed the current literature in regard to risk factors, etiology, diagnosis, management, and prognosis of ERCP-related perforations, aiming to provide a brief, updated overview of this devastating complication.
Lo
Cheng Hean
CH
Department of General Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. C_lo2@yahoo.com.au
Chung
Stephen
S
Bohmer
Robert D
RD
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D004386:Duodenum / Q000293:injuries*; D017809:Fatal Outcome; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed