{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:00:00Z","timestamp":1788926400754,"version":"build-2803163510"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:00:00Z","timestamp":1777075200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/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>Biliary stent placement is a common therapeutic intervention for biliary obstruction during endoscopic retrograde cholangiopancreatography. While generally safe, migration of these stents can occur. Distal migration leading to small bowel perforation is an exceptionally rare and life-threatening complication. We present the case of a 67-year-old female with a history of complex biliary disease and recent stent placement who presented with acute lower abdominal pain and septic shock. Computed tomography revealed a jejunal perforation caused by a migrated biliary stent. The patient underwent emergency exploratory laparotomy and small bowel resection. This case highlights the importance of maintaining a high index of suspicion for stent-related complications in patients presenting with an acute abdomen following biliary instrumentation, even months after the initial procedure.<\/jats:p>","DOI":"10.1093\/jscr\/rjag286","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:46:26Z","timestamp":1775043986000},"source":"Crossref","is-referenced-by-count":1,"title":["A rare complication of biliary stent insertion: biliary stent migration causing jejunal perforation"],"prefix":"10.1093","volume":"2026","author":[{"given":"Su Su (Shannon)","family":"Naing","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Hervey Bay Hospital , Cnr Nissen Street, &, 141\/169 Urraween Rd, Pialba QLD 4655 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"2026042501113319500_ref1","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.gie.2011.07.010","article-title":"Complications of ERCP","volume":"75","author":"Anderson","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"2026042501113319500_ref2","doi-asserted-by":"publisher","first-page":"5397","DOI":"10.3748\/wjg.v13.i40.5397","article-title":"Complications and treatment of migrated biliary endoprostheses: a review of the literature","volume":"13","author":"Namdar","year":"2007","journal-title":"World J Gastroenterol"},{"key":"2026042501113319500_ref3","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":"2026042501113319500_ref4","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/S0016-5107(92)70429-5","article-title":"Incidence and risk factors for biliary and pancreatic stent migration","volume":"38","author":"Johanson","year":"1992","journal-title":"Gastrointest Endosc"},{"key":"2026042501113319500_ref5","doi-asserted-by":"publisher","first-page":"W27","DOI":"10.1308\/147870810X12659688852239","article-title":"A review of problems following insertion of biliary stents illustrated by an unusual complication","volume":"92","author":"Bagul","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"2026042501113319500_ref6","first-page":"11","article-title":"Fatal duodenal perforation by a migrated plastic biliary stent","volume":"6","author":"Matsuzaki","year":"2020","journal-title":"Surg Case Rep"},{"key":"2026042501113319500_ref7","first-page":"rjad133","article-title":"Jejunal perforation caused by a migrated biliary stent","volume":"2023","author":"Daldoul","year":"2023","journal-title":"J Surg Case Rep"},{"key":"2026042501113319500_ref8","first-page":"e2014.00228","article-title":"Laparoscopic management of a migrated biliary stent resulting in jejunal perforation","volume":"19","author":"Garg","year":"2015","journal-title":"JSLS"},{"key":"2026042501113319500_ref9","first-page":"150","article-title":"Jejunal perforation: a rare complication of biliary stent migration","volume":"6","author":"Zavareh","year":"2013","journal-title":"Gastroenterol Hepatol Bed Bench"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag286\/68157172\/rjag286.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag286\/68157172\/rjag286.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T05:11:38Z","timestamp":1777093898000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag286\/8662284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag286","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":"rjag286"}}