2019 Volume 33 Issue 2 Pages 264-271
Case 1 involved an 84-year-old female who underwent endoscopic retrograde cholangiopancreatography (ERCP) with placement of an 8-Fr, 10-cm straight bile duct plastic stent for gallstone pancreatitis with cholangitis. Although there were no symptoms, duodenal perforation by biliary stent was recognized using computed tomographic examination after 2 months. The stent was endoscopically removed, the hole was closed with a clip, and the patient was discharged. Case 2 involved a 93-year-old female who underwent ERCP for choledocholithiasis. Because it was difficult to remove the stones, an 8.5-Fr, 9-cm straight biliary plastic stent was placed. Although there were no symptoms, the biliary stent perforated the duodenum when the scope was inserted for stone removal after 5 months. The stent was endoscopically removed, the hole was closed with a clip, and the patient was discharged. In both the cases, endoscopic treatment was successful.
