{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:00:07Z","timestamp":1788926407694,"version":"build-2803163510"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Migration of plastic biliary stents is a recognized complication of endoscopic retrograde cholangiopancreatography (ERCP), although it is usually asymptomatic and self-limiting. Intestinal perforation due to stent migration is rare, and involvement of Meckel\u2019s diverticulum is exceedingly uncommon. We report a 70-year-old woman who presented with acute abdomen approximately one year after ERCP with placement of a 10F\u201310\u00a0cm plastic biliary stent for choledocholithiasis. Computed tomography revealed small bowel obstruction and a linear hyperdense intraluminal structure consistent with a foreign body. Emergency surgery identified a migrated biliary stent impacted within a Meckel\u2019s diverticulum located 40\u00a0cm proximal to the ileocecal valve. One end of the stent was lodged in the diverticulum, while the opposite end perforated the adjacent ileal loop, resulting in localized peritonitis. Segmental small bowel resection with primary side-to-side anastomosis was performed. The postoperative course was complicated by respiratory failure requiring prolonged ventilatory support; however, the patient recovered and was discharged in good condition. This case highlights a rare bidirectional perforation mechanism caused by long-term indwelling plastic biliary stent migration. In patients with a history of ERCP presenting with acute abdomen, migrated stents should be considered in the differential diagnosis. Regular surveillance and timely removal of plastic biliary stents are essential to prevent severe late complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjag282","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:46:43Z","timestamp":1775044003000},"source":"Crossref","is-referenced-by-count":1,"title":["Migrated biliary stent causing Meckel\u2019s diverticulitis and ileal perforation: a rare cause of acute abdomen"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7413-1837","authenticated-orcid":false,"given":"\u0130brahim","family":"Do\u011fan","sequence":"first","affiliation":[{"name":"Department of General Surgery, University of Health Sciences Van Training and Research Hospital , S\u00fcphan Mah., Edremit, 65300, Van ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0402-3002","authenticated-orcid":false,"given":"Fatih","family":"Polat","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences Van Training and Research Hospital , S\u00fcphan Mah., Edremit, 65300, Van ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8841-7107","authenticated-orcid":false,"given":"Sait","family":"Tayfun","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences Van Training and Research Hospital , S\u00fcphan Mah., Edremit, 65300, Van ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1629-0522","authenticated-orcid":false,"given":"Ezgi","family":"S\u00f6nmez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University of Health Sciences Van Training and Research Hospital , S\u00fcphan Mah., Edremit, 65300, Van ,","place":["T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"2026042002190933700_ref1","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1007\/s00464-008-0067-x","article-title":"Migration of biliary plastic stents: experience of a tertiary center","volume":"23","author":"Arhan","year":"2009","journal-title":"Surg Endosc"},{"key":"2026042002190933700_ref2","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/S0016-5107(92)70429-5","article-title":"Incidence and risk factors for biliary stent migration","volume":"38","author":"Johanson","year":"1992","journal-title":"Gastrointest Endosc"},{"key":"2026042002190933700_ref3","doi-asserted-by":"publisher","first-page":"e7425","DOI":"10.1002\/ccr3.7425","article-title":"Late small bowel perforation from a migrated double plastic biliary stent: a case report and a review of literature of 85 cases from 2000 to 2022","volume":"11","author":"Alkhawaldeh","year":"2023","journal-title":"Clin Case Reports"},{"key":"2026042002190933700_ref4","doi-asserted-by":"publisher","first-page":"543","DOI":"10.4253\/wjge.v13.i10.543","article-title":"Small bowel perforation from a migrated biliary stent: a case report and review of literature","volume":"13","author":"Zorbas","year":"2021","journal-title":"World J Gastrointest Endosc"},{"key":"2026042002190933700_ref5","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002)","volume":"241","author":"Park","year":"2005","journal-title":"Ann Surg"},{"key":"2026042002190933700_ref6","first-page":"411","article-title":"Perforation of Meckel's diverticulum by foreign body, a rare complication","volume":"108","author":"Cotirlet","year":"2013","journal-title":"Chirurgia (Bucur)"},{"key":"2026042002190933700_ref7","doi-asserted-by":"publisher","first-page":"bcr2012008226","DOI":"10.1136\/bcr-2012-008226","article-title":"Perforation of Meckel's diverticulum by an intact fish bone","volume":"2013","author":"Mouawad","year":"2013","journal-title":"BMJ Case Rep"},{"key":"2026042002190933700_ref8","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1055\/s-0031-1291633","article-title":"European Society of Gastrointestinal Endoscopy. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline","volume":"44","author":"Dumonceau","year":"2012","journal-title":"Endoscopy"},{"key":"2026042002190933700_ref9","doi-asserted-by":"publisher","first-page":"e01424","DOI":"10.14309\/crj.0000000000001424","article-title":"Migrated plastic biliary stent causing cecal perforation","volume":"11","author":"Swied","year":"2024","journal-title":"ACG Case Rep J"},{"key":"2026042002190933700_ref10","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1016\/j.ijscr.2018.09.034","article-title":"A rare complication in a liver transplant patient: Meckel diverticulum perforation due to biliary stent","volume":"53","author":"Topal","year":"2018","journal-title":"Int J Surg Case Rep"},{"key":"2026042002190933700_ref11","doi-asserted-by":"publisher","first-page":"20150086","DOI":"10.1259\/bjr.20150086","article-title":"Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis","volume":"88","author":"Kuzmich","year":"2015","journal-title":"Br J Radiol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag282\/68113259\/rjag282.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag282\/68113259\/rjag282.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T06:19:14Z","timestamp":1776665954000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag282\/8659047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag282","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag282"}}