2022 Volume 42 Issue 4 Pages 509-512
Endoscopic biliary drainage (EBD) is a well-established method of managing biliary diseases. Perforation of the gut by a migrated EBS has been reported in less than 1％ of cases. The authors present the first case of formation of a subcutaneous abscess due to transverse colon penetration of a migrated EBS. A 92-year-old woman who had undergone EBS placement for cholangitis with choledocholithiasis 3 years earlier presented to us with a subcutaneous abscess in the left abdomen. CT showed the EBS penetrating the transverse colon and abdominal wall. In view of the patient’s bedridden condition, dementia, senility, and absence of evidence of peritonitis, we only performed drainage of the subcutaneous abscess; the EBS was left as it was, because of the high surgical risk. The patient showed an uncomplicated recovery following the abscess drainage, and was discharged to a nursing facility.
