ENDOSCOPIC BILIARY STENT MIGRATION WITH SMALL-BOWEL PERFORATION IN A LIVER-TRANSPLANT RECIPIENT

Intestinal perforation from a migrated biliary stent is a rare complic ation after endoscopic stent placement for benign biliary stricture. W e provide tile first description of stent migration and distal small-b owel perforation after stent placement for biliary anastomotic strictu re in a liver transplant recipient. We review the current literature o n the diagnosis and management of stent migration and intestinal perfo ration after endoscopic or percutaneous stent placement fur benign and malignant biliary strictures. Early diagnosis and treatment of biliar y stent migration and subsequent intestinal perforation are essential in transplant patients, in whom immunosuppression sometimes blunts sig ns and symptoms of intestinal perforation.