Colonic perforation with duodenal-colic fistula formation by a biliary stent in a liver transplant recipient


Endoscopic retrograde cholangio-pancreatography (ERCP) is increasing utilized in the setting of liver transplantation for a number of post-operative related biliary issues. Although ERCP represents an excellent technology, it is not without attendant risk including sepsis, bleeding and perforation. In this case report, the first of its kind, is described the occurrence of a migrated biliary stent induced duodenal-colic fistula formation in a liver transplantation patient who had required dual biliary stenting given post-operative biliary structuring. The placement of dual stents and their size are likely implicated in the cause of perforation. The enteric anatomy and the medical immunosuppression likely contributed to a delay in diagnosis and worse outcome.

Share and Cite:

Moore, C. , Hamdani, R. , Ferral, H. and Thiel, D. (2012) Colonic perforation with duodenal-colic fistula formation by a biliary stent in a liver transplant recipient. Open Journal of Gastroenterology, 2, 91-92. doi: 10.4236/ojgas.2012.22019.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] ASGE Guideline (2005) The role of ERCP in diseases of the biliary tract and the pancreas. Gastrointestinal Endoscopy, 62, 1-8. doi:10.1016/j.gie.2005.04.015
[2] Freeman, M.L. (2003) Understanding risk factors and avoiding complications with endoscopic retrograde cholangiopancreatography. Current Gastroenterology Reports, 5, 145-153. doi:10.1007/s11894-003-0084-9.
[3] Saranga Bharathi, R., Rao, P. and Ghosh, K. (2006) Iatrogenic duodenal perforations caused by endoscopic biliary stenting and stent migration: an update. Endoscopy, 38, 1271-1274. doi:10.1055/s-2006-944960
[4] Melita, G., Currò, G., Iapichino, G., Princiotta, S. and Cucinotta, E. (2005) Duodenal perforation secondary to biliary stent dislocation: A case report and review of the literature. Chirurgia Italiana, 57, 385-388.
[5] Elliott, M. and Boland, S. (2003) Sigmoid colon perforation following a migrated biliary stent. ANZ Journal of Surgery, 73, 669-670. doi:10.1046/j.1445-2197.2003.02698.x

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.