Zorbas Konstantinos A, Ashmeade Shane, Lois William, Farkas Daniel T
Department of Surgery, Bronx Care Health System, New York, NY 10457, United States.
World J Gastrointest Endosc. 2021 Oct 16;13(10):543-554. doi: 10.4253/wjge.v13.i10.543.
Bowel perforation from biliary stent migration is a serious potential complication of biliary stents, but fortunately has an incidence of less than 1%.
We report a case of a 54-year-old Caucasian woman with a history of Human Immunodeficiency virus with acquired immunodeficiency syndrome, chronic obstructive pulmonary disease, alcoholic liver cirrhosis, portal vein thrombosis and extensive past surgical history who presented with acute abdominal pain and local peritonitis. On further evaluation she was diagnosed with small bowel perforation secondary to migrated biliary stents and underwent exploratory laparotomy with therapeutic intervention.
This case presentation reports on the unusual finding of two migrated biliary stents, with one causing perforation. In addition, we review the relevant literature on migrated stents.
胆道支架移位导致的肠穿孔是胆道支架一种严重的潜在并发症，但幸运的是其发生率低于1%。
我们报告一例54岁的白人女性病例，该患者有人类免疫缺陷病毒伴获得性免疫缺陷综合征、慢性阻塞性肺疾病、酒精性肝硬化、门静脉血栓形成病史，且既往有广泛手术史，此次因急性腹痛和局限性腹膜炎就诊。进一步评估后，她被诊断为因胆道支架移位继发小肠穿孔，并接受了剖腹探查及治疗干预。
本病例报告了两个移位胆道支架这一不寻常的发现，其中一个导致了穿孔。此外，我们还回顾了关于移位支架的相关文献。
