Ekmektzoglou Konstantinos, Nikou Efstathios, Apostolopoulos Periklis, Grigoraki Despina, Manesis Konstantinos, Alexandrakis Georgios
Department of Gastroenterology, Army Share Fund Hospital (NIMTS), Monis Petraki 10-12 Street, 11521, Athens, Greece.
, Attica, Greece.
Clin J Gastroenterol. 2019 Apr;12(2):102-105. doi: 10.1007/s12328-018-0914-9. Epub 2018 Oct 3.
Duodenal perforations due to biliary stenting migration, although rare, can occur. We report a unique case of duodenal perforation due to a large in length plastic stent with no (or marginal) migration, which ended up in the root of the mesentery, explaining the normal laboratory values and minimal imaging findings observed. Any clinical symptom during the postprocedural period should raise the suspicion of a major complication and prompt quick management decisions.
尽管罕见，但因胆道支架移位导致十二指肠穿孔仍可能发生。我们报告了一例独特的十二指肠穿孔病例，穿孔原因是一根长度较长的塑料支架未发生（或仅有轻微）移位，却最终进入了肠系膜根部，这解释了所观察到的正常实验室检查值和轻微影像学表现。术后任何临床症状都应引起对严重并发症的怀疑，并促使迅速做出管理决策。
