Nesta página pode conhecer as candidaturas ao Prémio de Imagem Endoscópica selecionadas pelo júri para votação pelos sócios.
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Biliary stent migration with duodenal perforation: how to manage? - Menção Honrosa (Vídeo) Inês Marques de Sá, Ricardo Kuttner-Magalhães, Tiago Pereira Guedes, Joana Silva, Daniela Ferreira, José Manuel Ferreira, Isabel Pedroto Instituto Português de Oncologia do Porto A 50-year-old man with liver transplant for hepatocellular carcinoma was admitted because of cholangitis and choledocholithiasis. He underwent endoscopic retrograde cholangiopancreatography(ERCP) with sphincterotomy, stone extraction and a 10Frx12cm straight plastic stent was inserted due to doubt about completeness of stone removal. On D7 after ERCP, he maintained fever and hyperbilirubinemia. Computed tomography revealed distal biliary stent migration with duodenal perforation. Endoscopy was performed. The stent was extracted with foreign body forceps and the transmural defect closed with an over-the-scope-clip, uneventfully. Biliary stent migration with duodenal perforation is rare. Although guidelines on management are lacking, endoscopy is an appropriate first-line treatment.Error