title: Biliary stent migration presenting as transdiverticular sigmoid perforation.
abstract: The authors present a case report of a patient with distal plastic biliary stent migration resulting in perforation through a sigmoid diverticulum. The perforation was contained by a loop of ileum that had descended into the pelvis allowing for a sigmoid resection with primary anastomosis. This rare complication of biliary stent placement should be included in differential diagnosis of any patient that presents with lower quadrant abdominal pain after endoscopic retrograde cholangiopancreatography with stent placement.
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: A
authors.initials: A
authors.lastname: Peter
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: M
authors.initials: M
authors.lastname: Walker
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: K
authors.initials: K
authors.lastname: Shinil
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: D
authors.initials: D
authors.lastname: Shah
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: A
authors.initials: A
authors.lastname: Eduardo
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: M
authors.initials: M
authors.lastname: Souchon
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: G
authors.initials: G
authors.lastname: Stefanos
authors.affiliation: University of Texas Medical School, Texas, USA.
authors.forename: M
authors.initials: M
authors.lastname: Millas