Maldonado-García EL, Fuentes-Reyes RA, Contreras-Rojas C, De los Ríos-Ávila H, Nacud-Bezies YA

Language: Spanish
References: 10
Page: 27-31
PDF size: 297.92 Kb.

ABSTRACT

Introduction: Biliary stents such as those of the pancreatic ducts showed appreciable rates of proximal and distal migration ranging between 4.9 and 7.5% in the literature. Most biliary stents pass through the intestine without any problem. Clinical case: This is a 58-year-old male patient who begins current condition with pain in the right hypochondrium, irradiation to subscapular region, fever and jaundice, goes to his medical unit, is diagnosed with cholangioresonance choledocholithiasis, retrograde pancreatic cholangiography with sphincterotomy and placement of biliary prosthesis and refers to our surgery service where it is scheduled for conventional bile duct exploration and cholecystectomy, post-surgical satisfactory with discharge on the third day, refers again to ERCP, for stent removal, where migration is visualized by what is scheduled for surgical removal of prosthesis and closure of common bile duct without eventualities, with satisfactory postoperative evolution with discharge on the third day. Discussion: Proximal migration of biliary stents is uncommon and patients usually do not have symptoms. Conclusion: One of the complications of ERCP is the migration of endoprostheses in the bile duct or out of it to other organs.

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