Successful Closure of Chronic Colonic Double Perforation Caused by a Plastic Biliary Stent with Over-the-Scope Clip.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

Case Reports in Gastroenterology Pub Date : 2025-05-29 eCollection Date: 2025-01-01 DOI:10.1159/000545561

Manuel Lehner, Henriette Heinrich, Benjamin Baumgartner, Tobias Heye, Marius Zimmerli

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Abstract

Introduction: Biliary stenting is commonly used for managing bile duct conditions, with stent migration occurring in up to 21% of cases. Colonic perforation from stent migration is rare, typically managed surgically or with conventional endoscopic clips. The use of over-the-scope clips (OTSCs) for such perforations is less documented.

Case presentation: An 89-year-old multimorbid woman presented with abdominal pain and new-onset constipation. Imaging revealed a migrated biliary stent causing sigmoid colon perforation. One year earlier, the stent had been placed for choledocholithiasis. Endoscopic removal of the stent and OTSC closure of the perforations were successfully performed, with no complications on follow-up.

Conclusion: This case demonstrates the successful use of OTSCs for closing a chronic colonic perforation caused by a migrated biliary stent. OTSCs may be a viable, less invasive alternative to surgery in similar cases.

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塑料胆道支架镜外夹成功闭合慢性结肠双穿孔。

导说：胆道支架置入术通常用于治疗胆管疾病，高达21%的病例发生支架移位。由支架迁移引起的结肠穿孔是罕见的，通常通过手术或常规的内镜夹来处理。在此类穿孔中使用超范围夹（OTSCs）的记录较少。病例介绍：一名89岁多病女性，腹痛和新发便秘。影像学显示胆道支架移位导致乙状结肠穿孔。一年前，该支架被放置用于治疗胆总管结石。内镜下支架取出和OTSC缝合穿孔均成功，随访无并发症。结论：本病例成功地应用了OTSCs来关闭由胆道支架移位引起的慢性结肠穿孔。在类似病例中，OTSCs可能是一种可行的、侵入性较小的手术替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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