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An Unusual Complication of a Colonic Wallstent
Authors:Deborah E. Low  Philip N. Panto  Andrew G. Hastings  Keshav Nigam
Affiliation:(1) Department of Radiology, Kings Mill Hospital, Sherwood Forest Hospitals NHS Trust, Mansfield Road, Sutton in Ashfield, Nottinghamshire. NG17 4JL, UK;(2) Department of Pathology, Kings Mill Hospital, Sherwood Forest Hospitals NHS Trust, Mansfield Road, Sutton in Ashfield, Nottinghamshire. NG17 4JL, UK;(3) Department of Surgery, Kings Mill Hospital, Sherwood Forest Hospitals NHS Trust, Mansfield Road, Sutton in Ashfield, Nottinghamshire. NG17 4JL, UK
Abstract:We report a case of delayed perforation of normal colonic wall by the wire tips of an enteral Wallstent, which had successfully been used to treat a malignant obstruction of the sigmoid colon. Perforation occurred 5 days following insertion and despite surgery, resulted in fatality. Though perforation at the tumor site is a recognized complication during or following colonic stent placement, it is rare for the ends of the stent to perforate through nondiseased bowel wall. The site of the obstructing lesion and thus the position of the stent on a bend in the colon may be a contributory factor.Correspondence to: P.N. Panto; email: Philip.Panto@sfh-tr.nhs.uk
Keywords:Malignant colonic obstruction  Colonic Wallstent  Perforation  Wire tips
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