RESUMO
Intestinal perforation from a plastic biliary stent is a known but rare complication of endoscopic biliary stent placement. Intra-peritoneal perforation is less common but carries more morbidity and mortality. Only a few cases of early stent migration and perforation have been reported. We present the case of a duodenal perforation caused by early migration of plastic biliary stent that resulted in intra-peritoneal biliary peritonitis.
Assuntos
Migração de Corpo Estranho , Perfuração Intestinal , Humanos , Stents/efeitos adversos , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Plásticos , Migração de Corpo Estranho/diagnóstico por imagem , Migração de Corpo Estranho/cirurgiaRESUMO
Mirizzi syndrome is a rare syndrome, caused by the compression of gall stones which may result in CBD obstruction or fistula formation. It may sometimes present without any prior symptoms. It has been classified into five types by Csendes. Usually open surgical approach is recommended for the condition, especially for Types III-V. We present the case of a patient who presented with right hypochondrial pain and was intra-operatively discovered to have type Va Mirrizi syndrome and was managed successfully laparoscopically.