Biliary stent migration into the abdominal wall: a case report.
Biliary stent migration occurs in about 5% of patients. The most common complications secondary to stent migration are pancreatitis, small bowel perforation and peritonitis. We report the case of a patient presenting with an abdominal wall abscess secondary to migration of a biliary stent. Direct abdominal radiography, abdominal ultrasound and CT scan have proved very useful in the diagnosis, providing the correct localisation of the stent in the left rectus muscle of the abdominal wall that led to a surgical approach under local anaesthesia for the removal, and abscess formation surrounding the stent. The patient was discharged on the day after surgery. After reviewing the literature concerning this rare complication, the Authors conclude that closer monitoring of patients with biliary prostheses is needed to prevent the migration and the consequent serious complications.
Department of Surgical Science, Organ Transplantation and Advanced Technologies, University of Catania.
Vincenzo
V
Minutolo
Giuseppe
G
Gagliano
Alessandro
A
Buttafuoco
Orazio
O
Minutolo
Francesco
F
Mosca
Stefano
S
Puleo
D034861:Abdominal Wall; D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D008297:Male; D015607:Stents / Q000009:adverse effects*