Størkson R H, Edwin B, Reiertsen O, Faerden A E, Sortland O, Rosseland A R
Surgical Department, Central Hospital of Akershus, Nordbyhagen, Norway.
Endoscopy. 2000 Jan;32(1):87-9. doi: 10.1055/s-2000-87.
Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993-1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but did not recover. The second patient was an 86-year-old man who had perforation of the sigmoid colon caused by a straight 7 French/5 cm stent left in the duodenum during a stent exchange procedure; he was successfully treated laparoscopically. Two cases of gut perforation in a three-year period is a rather high rate of this rare complication of placement of biliary endoprostheses.
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