Appendiceal perforation due to biliary stent migration in a neutropenic patient with lung cancer receiving chemotherapy: A case report

Pasi Pengermä, Jevgeni Katunin, Arto Turunen, Pierpaolo Sileri, Gabriella Giarratano, Ari Palomäki, Aristotelis Kechagias

Research output: Contribution to journalArticleScientific

Abstract

The use of biliary stents has become a common and usually safe procedure. However, the migration of biliary stents is an uncommon but well-recognized event after endoscopic retrograde cholangiopancreatography. The migration of plastic stents usually does not result in complications and are spontane-ously eliminated from the gastro-intestinal tract. Additionally, <1% of migrated stents result in intestinal perforation, which typically occurs at the duodenum. Chemotherapeutic agents may cause gastrointestinal toxicity and hematologic toxicity predisposing to neutropenic enterocolitis. The current study reports a patient with an unprecedented case of biliary stent migration resulting in appendiceal gangrene and perforation in a neutropenic patient under chemotherapy for metastatic small cell lung cancer.

Original languageEnglish
Article number136
JournalMolecular And Clinical Oncology
Volume15
Issue number1
DOIs
Publication statusPublished - 2021
Publication typeB1 Article in a scientific magazine

Keywords

  • Appendiceal perforation
  • Biliary stent
  • Neutropenic enterocolitis
  • Stent migration
  • Topotecan

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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