Laparoscopic treatment of proximally migrated stent which was unable to be removed endoscopically

Abstract

Stent migration is one of the rare complications of biliary stenting. A 65-year-old male patient was admitted with complaints of abdominal pain. In his medical history, he underwent laparoscopic cholecystectomy five years ago. The laboratory results, abdominal ultrasonography, and Magnetic resonance cholangiography revealed choledochal stones and benign biliary stenosis. The patient underwent endoscopic retrograde cholangiopancreatography (ERCP). After two stones were removed from the choledochus, a 10-FR straight stent was inserted into the choledochus. One month later, It was revealed that the stent was not in place in the ERCP. Despite several attempts, the stent was unable to be removed and, thus, a decision for surgery was made. The operation was performed with laparoscopic intervention. Although migrated stents can be removed endoscopically, surgical treatment is required, if they are unable to be removed.