Duodenal perforation secondary to migration of endobiliary prosthesis. (24th September 2012)

• Record Type: Journal Article
• Authors: Smart, Peter; Keenan, Declan; Campbell, William; Morris-Stiff, Gareth
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-09-24
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-006711
• Languages: English
• ISSNs: 1757-790X

Abstract

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.