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  Česky / Czech version Rozhl. Chir., 2004, roč. 83, č. 2, s. 67-69
 
Perforation of Jejunum by Plastic Biliary Stent after Injury 
Krška Z., Brůha R., Šváb J., Demeš R.,Votrubová J., Petrtýl J., Hořejš J. 

I. chirurgická, IV. interní a RD klinika VFN a UK v Praze
 


Summary:

       The authors present case of patient with biliary stent dislocation after chest injury and fracture of VIII. rib. Polymorbid patient with cirhosis, chronic pancreatitis, portal hypertension (Child Plugh B) and biliary stent insertion came with acute abdominal pain and inflammatory signs. Progressive signs of acute abdomen have led to laparotomy. Perforation of duodeno-jejunal-loop due to dislocated biliary stent, small loop adhesions and thickened intestine wall were found. Postsurgical period was complicated with obstructive ileus, cholecystitis and cholangoitis and the second biliary stent was inserted. Present-day status of the patient is satisfactory.

        Key words: biliary stent – perforation of the jejunum – trauma
       

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