Endoscopic rescue of a fistulizing biliary plastic stent

55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile...

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Published inRevista española de enfermedades digestivas Vol. 115; no. 12; pp. 736 - 737
Main Authors Berdugo Hurtado, Fernando, Ortiz Sánchez, Alfredo, Zúñiga de Mora Figueroa, Beatriz, Barrientos Delgado, Andrés
Format Journal Article
LanguageEnglish
Spanish
Published Spain Sociedad Espanola de Patologia Digestivas 01.12.2023
Subjects
Biliary Tract
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholangitis - diagnostic imaging
Cholangitis - etiology
Cholangitis - surgery
Cholecystectomy - adverse effects
Endoscopy
Health aspects
Humans
Male
Stent (Surgery)
Stents - adverse effects
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Summary:55-year-old male with a history of cholecystectomy complicated by perforation of the common bile duct, contained with placement of a plastic biliary stent. He presented several subsequent episodes of recurrent cholangitis secondary to biliary lithiasis and residual benign stenosis of the common bile duct, resolved with the implantation of plastic biliary prostheses. Finally, given the recurrent episodes of cholangitis, it was agreed to perform a hepaticojejunostomy. During the operation, the last implanted stent was not detected, which was identified by CT scan of the abdomen, causing a fistulous tract between the duodenum and the ascending colon. The stent was removed endoscopically, without complications, and the fistulous tract was resolved.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:1130-0108
DOI:10.17235/reed.2023.9673/2023