Levey J M
Division of Gastrointestinal and Hepatobiliary Medicine, Worcester Medical Center/Fallon Clinic, University of Massachusetts Medical School, 20 Worcester Center, Boulevard, Worcester, MA 01608, USA.
Surg Endosc. 2002 Nov;16(11):1636-7. doi: 10.1007/s00464-002-4506-9. Epub 2002 Jun 27.
Organ perforation is a well-described complication of plastic biliary stent placement [1, 2, 3, 4, 5, 6, 7, 8, 9, 10][1-10]. Most commonly, a stent will cause duodenal perforation while still in the area of the biliary system. This often occurs in the setting of a periampullary diverticulum. Less frequently, a perforation occurs as a result of stent migration into the distal lumenal gastrointestinal tract. These cases have involved a migrated stent impacting at the level of the ileum or a sigmoid colon diverticulum. A plastic biliary stent causing perforation inside an incarcerated small bowel hernia sac has been reported [10]. We describe the first reported case of a plastic biliary stent causing perforation inside a parastomal hernia.
胆管穿孔是塑料胆道支架置入术一种已被充分描述的并发症[1, 2, 3, 4, 5, 6, 7, 8, 9, 10][1 - 10]。最常见的情况是，支架仍在胆道系统区域时就会导致十二指肠穿孔。这通常发生在壶腹周围憩室的情况下。较少见的是，穿孔是由支架迁移至远端管腔胃肠道所致。这些病例涉及迁移的支架卡在回肠水平或乙状结肠憩室处。曾有报道称塑料胆道支架在嵌顿性小肠疝囊内导致穿孔[10]。我们描述了首例报道的塑料胆道支架在造口旁疝内导致穿孔的病例。
