Case Report

Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent

Volume: 10 Number: 1 January 4, 2024
EN

Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent

Abstract

Perforations after endoscopic retrograde colangiopancreatography (ERCP) are divided into four types. Type 1 refers to the duodenum, type 2 the periampullary region, type 3 the bile duct itself, and type 4 the observation of retroperitoneal free air on cross-sectional imaging. The treatment of type 2 biliary perforations remains debatable. We present a patient who was successfully treated with a self-expandable metal stent (SEMS) without the need for surgery or any complications.

Keywords

References

  1. 1. Sarli L, Porrini C, Costi R, et al. Operative treatment of periampullary retroperitoneal perforation complicating endoscopic sphincterotomy. Surgery. 2007;142(1):26-32. doi: 10.1016/j.surg.2007.02.002.
  2. 2. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-198. doi: 10.1097/00000658-200008000-00007.
  3. 3. Tovar FG, Mendoza SJ, Velandia CC, López L C. [Case report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management]. Rev Colomb Gastroenterol 2018;33:74-79. doi:10.22516/25007440.235. [Article in Spanish]
  4. 4. Odemis B, Oztas E, Kuzu UB, et al. Can a Fully Covered Self-Expandable Metallic Stent be Used Temporarily for the Management of Duodenal Retroperitoneal Perforation During ERCP as a Part of Conservative Therapy? Surg Laparosc Endosc Percutan Tech. 2016;26(1):9-17. doi: 10.1097/SLE.0000000000000240.
  5. 5. Bozbiyik O, Cetin B, Gumus T, Tekin F, Uguz A. Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations. BMC Gastroenterol. 2022;22(1):385. doi: 10.1186/s12876-022-02466-9.

Details

Primary Language

English

Subjects

Gastroenterology and Hepatology

Journal Section

Case Report

Early Pub Date

August 17, 2023

Publication Date

January 4, 2024

Submission Date

February 24, 2023

Acceptance Date

June 7, 2023

Published in Issue

Year 2024 Volume: 10 Number: 1

AMA
1.Kurt İ. Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent. Eur Res J. 2024;10(1):154-156. doi:10.18621/eurj.1256002