Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 15, Number 9, September 2024, pages 227-230


Bilio-Cecal Stent Migration Presenting as Massive Rectal Bleeding

Figures

Figure 1.
Figure 1. Endoscopic retrograde cholangiopancreatography images showing a filling defect in the biliary duct, sphincterotomy, and stent placement. (a) Image showing a short 0.035-inch soft Jagwire being passed into the biliary tree. (b) Endoscopic image showing a cannulating sphincterotome being inserted into the biliary tree. (c) Image showing a one 4-Fr 5-cm plastic stent with a single external flap and no internal flaps being placed into the common bile duct (CBD)/ventral pancreatic duct (PD). (d) CBD wire. (e) PD w/cutoff a level of genu. (f-h) CBD wire. Yellow arrows in (d-f) show a filling defect consistent with a stone in genu of the pancreas. Yellow arrows in (f) and (h) show a filling defect consistent with a stone as seen on the cholangiogram. w/cutoff: with cutoff.
Figure 2.
Figure 2. Endoscopic image showing a migrated stent impacted in the cecum and extending into the ascending colon. (a) Cecum. (b) Ascending colon. (c) Sigmoid colon. (d) Rectum. Red arrows (a) and (b) show a migrated stent impacted in the cecum.