An Extremely Unusual Complication of Biliary Metallic Stenting: Transhepatic Entero-Peritoneal Fistula

Biliary self-expanding metal stents (SEMSs) are most commonly used for establishment of drainage in case of malignant biliary obstruction. The most common complication associated with these stents is migration, which is usually distal. However, proximal migration of SEMS is less common. Here, we present a case of malignant extrahepatic biliary obstruction due to gallbladder cancer, which underwent SEMS placement and later had proximal migration of SEMS leading to perforation of liver capsule and pneumoperitoneum.

Cite this article as: Sundaram S, Sawrav S, Ramani N, Giri S, Bhatia S. An extremely unusual complication of biliary metallic stenting: transhepatic entero-peritoneal fistula. Diagn Interv Endosc. 2022;1(1):21-23