An 81-year-old man with a poor performance status presented with high fever to our hospital. He had been diagnosed with gallstone pancreatitis 9 months prior to admission, and had been treated with biliary stent placement. An abdominal computed tomography (CT) scan revealed that the plastic stent was penetrating the ascending colon. Therefore, we performed an emergency laparoscopic ileal resection. After his recovery, we performed endoscopic retrograde cholangiopancreatography (ERCP) and removed endoscopic common bile duct stones. On post-operative day 35, he underwent laparoscopic cholecystectomy.
Although the placement of a long-term biliary stent to treat acute cholangitis in elderly patients is becoming common, the migration of biliary stents has often been reported, and colon perforations are a severe complication in those cases. As ERCP-related procedures have a high incidence rate of accidental diseases, it is imperative to choose appropriate treatments on the basis of the patients’ background such as age and the underlying disease.
