title: Full length migration of plastic biliary stent into the left lobe of liver and its endoscopic retrieval.
abstract: An elderly female was admitted with obstructive jaundice, secondary to an impacted 1.7 cm size stone in distal CBD. Cholangiogram obtained during ERCP revealed dilated biliary system with large, immobile stone at the lower end of CBD. A large size sphincterotomy was performed and stone extraction using biliary balloon / dormia basket attempted which was unsuccessful as the stone was impacted in distal CBD. Therefore, a plastic biliary stent of 9 cm/8.5 french size was inserted successfully to secure the biliary drainage. Patient improved clinically and discharged home on ursodeoxycholic acid. Four weeks later, she presented to emergency department with signs of cholangitis. An emergency ERCP was performed. The stent had migrated up completely into the left intra hepatic duct. In this session, the stone was extracted and biliary drainage secured. Migrated stent was removed later on by another ERCP procedure.
authors.affiliation: Department of Gastroenterology and Endoscopy, King Khalid Hospital, Najran, Saudi Arabia.
authors.forename: Ali Mothanna
authors.initials: AM
authors.lastname: Al-Zubaidi
authors.affiliation: Department of General Surgery and Endoscopy, King Khalid Hospital, Najran, Saudi Arabia.
authors.forename: Abdo Hasan
authors.initials: AH
authors.lastname: Al-Zubaidi
authors.affiliation: Department of Gastroenterology and Endoscopy, King Khalid Hospital, Najran, Saudi Arabia.
authors.forename: Laeeque Ahmed
authors.initials: LA
authors.lastname: Qureshi
authors.affiliation: Department of Gastroenterology and Endoscopy, King Khalid Hospital, Najran, Saudi Arabia.
authors.forename: Esam Elldein
authors.initials: EE
authors.lastname: Al-Haroon
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000295:instrumentation; D002761:Cholangitis / Q000209:etiology*; D042883:Choledocholithiasis / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000000981:diagnostic imaging / Q000628:therapy; D020878:Device Removal / Q000379:methods; D004322:Drainage; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D010969:Plastics; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects; D015607:Stents; D016896:Treatment Outcome
chemical_list: D010969:Plastics