A case of duodenal perforation secondary to ERBD stent dislocation treated by laparoscopy surgery Taizo HAYASHI 1 , Hiroyuki SUGIMOTO 1 , Hiroyuki YOKOYAMA 1 , Masayuki TSUTSUYAMA 1 , Takahiro SHINOZUKA 1 , Yoshinari MOCHIZUKI 1 1Department of Surgery, Komaki City Hospital Keyword: ERBD , 十二指腸 , 腹腔鏡手術 pp.366-370
Published Date 2021/9/15
DOI https://doi.org/10.11477/mf.4426200933
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 A 64-year-old male patient underwent endoscopic retrograde biliary drainage (ERBD) for obstructive jaundice due to autoimmune pancreatitis. Abdominal pain appeared 3 months later, but the symptom improved within a few days. However, one month later, an abdominal computed tomography scan revealed a deviation of the ERBD stent and duodenal perforation; therefore, laparoscopic surgery was performed. The space between the mesentery and retroperitoneum was dissected via the retroperitoneal approach using laparoscopic right hemicolectomy to reach the perforated duodenum. The perforated part formed a fistula, which was sutured after removal of the stent. Thus, we report a rare case of laparoscopic stent removal and fistula plication for a duodenal perforation due to ERBD stent deviation.

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