Case Report
Year: 2023 | Month: July | Volume: 13 | Issue: 7 | Pages: 232-236
DOI: https://doi.org/10.52403/ijhsr.20230734
An Unnatural Presentation of Biliary Stent Migration - A Case Report
Dr. Akhil Krishnan1, Dr. Moses A W Ingty2
1Post Graduate, Department of General Surgery Bharati Vidyapeeth (Deemed to be University) Medical College & Hospital, Sangli, India
2Professor, Department of General Surgery Bharati Vidyapeeth (Deemed to be University) Medical College & Hospital, Sangli, India
Corresponding Author: Dr. Akhil Krishnan
ABSTRACT
A very small number of these migrated stents causes perforation, even less so can reach up to the anterior abdominal wall through the rectus to lie under the skin.
In this case report, we describe an unusual presentation of biliary stent migration as an abdominal wall mass. The patient had a history of laparoscopic cholecystectomy followed by endoscopic stenting of the common bile duct for biliary peritonitis and stricture. He was lost to follow-up for 2 years and then presented with a palpable lump in the right hypochondrium. Imaging studies showed that the stent had pierced through the rectus muscle and was lying under the external oblique aponeurosis. The stent was removed surgically without any complications. A full laparotomy and thorough examination of bowel were not performed as there was no evidence of biliary leak or bowel perforation.
Key words: CBD stent, biliary stent, displaced biliary stent