Spontaneous Expulsion of a Biliary Stent via the abdominal wall: A rare complication: Case Report

Abstract

We report a rare complication of a biliary stent inserted via endoscopic retrograde cholangio-pancreatography (ERCP) for benign biliary disease in a 60 years-old female presented with abdominal pain and a tender left iliac fossa (LIF) mass. She had change of the colour of the skin over the hypogastric region. Crepitus was felt in the subcutaneous tissue. Surgical drainage of the abscess was undertaken. A black, 14-cm biliary stent was found in the centre of the necrotic tissue. The patient, thereafter,
made an uneventful recovery and the LIF mass disappeared. The wound was closed with secondary sutures about three weeks later, and complete healing was achieved thereafter. Here we discuss this rare complication.

Keywords: Biliary stent migration, colonic perforation, abdominal mass, large bowel obstruction, abdominal
wall abscess, ERCP complication.

Sudan Journal of Medical Sciences Vol. 3 (3) 2008: pp. 255-258