Abstract
Internal drainage with endoscopically placed endoprostheses is an established management strategy for biliary tract obstruction. The method is preferred over surgical drainage because of the significantly lower complication rate [1]. Complications after stent placement are rare and include cholangitis, cholecystitis, bile duct erosion, pancreatitis, stent occlusion, stent fracture, stent migration, and intestinal impaction [1, 2] Intestinal perforation is perhaps the rarest complication of endoscopic biliary stenting, with sporadically published reports [2-4]. The perforation is typically caused by a very long and rigid stent impacted in the duodenum [2, 3]. Distal perforations involving the small bowel [2] or colon [4] are among the most unexpected life-threatening abdominal emergencies.
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