Case report of rare cause of small bowel obstruction: distal migration of metal biliary stent requiring enterotomy

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dc.contributor.authorRumble, WTen_US
dc.contributor.authorLonie, JMen_US
dc.contributor.authorDonovan, Men_US
dc.contributor.authorKia, C.en_US
dc.date.accessioned2024-11-30T05:56:12Z
dc.date.available2024-11-30T05:56:12Z
dc.date.issued2024-08
dc.description.abstractEndoscopic biliary stent placement is a mainstay in the management of biliary strictures both malignant and benign. Distal stent migration is a known complication of metal biliary stents, however small bowel obstruction or perforation are rare. In this report from a tertiary referral centre, we detail a mid-small bowel obstruction caused by covered metal stent migration requiring a laparotomy and enterotomy for definitive management. A 69-year-old male was admitted to the Sunshine Coast University Hospital with obstructive jaundice on a background of previous metal biliary stent placement. On day 3 of his admission, he developed worsening abdominal pain. Cross-sectional imaging demonstrated distal migration of his stent to his mid-jejunum, causing a high-grade small bowel obstruction. He underwent laparotomy to retrieve the stent. He recovered well and underwent a percutaneous transhepatic cholangiogram with stent replacement. In this case, distal biliary stent migration causes a small bowel obstruction. Whilst uncommon, risk factors including previous intra-abdominal operation can be used to identify patients unlikely to achieve successful expectant management of distal migration.en_US
dc.identifier.affiliationsDepartment of General Surgery, Sunshine Coast University Hospital, Birtinya, Sunshine Coast, Australiaen_US
dc.identifier.affiliationsDepartment of Gastroenterology, Sunshine Coast University Hospital, Birtinya, Sunshine Coast, Australiaen_US
dc.identifier.affiliationsDepartment of Gastroenterology, Sunshine Coast University Hospital, Birtinya, Sunshine Coast, Australiaen_US
dc.identifier.affiliationsDepartment of Gastroenterology, Sunshine Coast University Hospital, Birtinya, Sunshine Coast, Australiaen_US
dc.identifier.citationRumble WT, Lonie JM, Donovan M, Kia C.. Case report of rare cause of small bowel obstruction: distal migration of metal biliary stent requiring enterotomy . International Surgery Journal. 2024 Aug; 11(8): 1343-1346en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236393
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20242129en_US
dc.subjectCase reporten_US
dc.subjectDistal stent migrationen_US
dc.subjectEnterotomyen_US
dc.subjectLaparotomyen_US
dc.subjectMetal biliary stenten_US
dc.subjectSmall bowel obstructionen_US
dc.titleCase report of rare cause of small bowel obstruction: distal migration of metal biliary stent requiring enterotomyen_US
dc.typeJournal Articleen_US
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