A rare complication of biliary stent migration: small bowel
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Endoscopic biliary stents have been recently applied with increasing frequency for several benign and malignant diseases. This procedure presents short-term complications such as hemorrhage, pancreatitis, cholangitis, and perforation, in addition to long-term complications such as stent migration and late perforation. In this case report, we present a case of intestinal perforation caused by a biliary stent in the hernia of a patient with a rarely encountered incarcerated incisional hernia.A 52-year-old female patient was admitted to the emergency department with complaints of abdominal pain and the inability to pass gas and stools for two days. The patient received endoscopic retrograde cholangiopancreatography (ERCP) and a biliary stent procedure three years prior due to choledocholithiasis, after which she was surgically treated with a median incision due to a cyst in the liver one and a half years prior. The ERCP was repeated and the stent was replaced due to cholestasis symptoms three months prior to the current presentation. Upon inspection of the patient, a painful-upon-palpation, 10?cm in diameter, irreducible hernia sac with an erythematous surface was palpable, which had herniated from the 4?cm fascial defect at the bottom of the patient's midline incision...

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