An unusual case of rectal perforation after liver transplantation.
We present the case of a 50-year-old patient in whom an anastomotic biliary stricture after liver transplantation was treated endoscopically by sphincterotomy, dilatation and stenting using a plastic biliary stent. A distal migration of the stent caused a perforation of the rectum which was treated following stent extraction per anum -- conservatively with antibiotics and temporary bowel rest.
Department of Abdominal Transplantation Surgery University Hospitals Leuven, Belgium.
P
P
Depuydt
R
R
Aerts
W
W
Van Steenbergen
C
C
Verslype
W
W
Laleman
D
D
Cassiman
F
F
Nevens
J
J
Pirenne
D
D
Monbaliu
D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D008104:Liver Cirrhosis, Alcoholic / Q000628:therapy; D016031:Liver Transplantation / Q000009:adverse effects* / Q000295:instrumentation; D008875:Middle Aged; D012002:Rectal Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D015607:Stents / Q000009:adverse effects*