title: Duodenal perforation secondary to migration of endobiliary prosthesis.
abstract: A 27-year-old woman presented to the emergency department with abdominal pain, four days post endoscopic retrograde cholangiopancreatography (ERCP) and insertion of an endobiliary stent. A plain abdominal film highlighted the stent in an atypical position within the abdomen. As such, the patient progressed to a CT scan, confirming a retroperitoneal perforation of the duodenum by the stent. Laparotomy returned the stent to the duodenum with a primary duodenal repair. This case highlights the high index of suspicion required in patients who present with acute abdominal pain post-ERCP.
authors.affiliation: Department of Surgery, Mater Hospital, Belfast, Antrim, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Smart
authors.forename: Declan
authors.initials: D
authors.lastname: Keenan
authors.forename: William
authors.initials: W
authors.lastname: Campbell
authors.forename: Gareth
authors.initials: G
authors.lastname: Morris-Stiff
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001649:Bile Duct Diseases / Q000150:complications / Q000601:surgery*; D001652:Bile Ducts / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D011475:Prosthesis Failure / Q000009:adverse effects*; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D015607:Stents / Q000009:adverse effects*