{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:31:44Z","timestamp":1788201104488,"version":"build-2803163510"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Biliary stents are commonly used for strictures and obstruction, but can migrate distally in up to 20% of cases. While most are identified early, some remain silent for years before presenting with complications. We describe a rare case of a biliary stent that migrated and remained undetected for over 70\u00a0years in an 89-year-old woman with a history of cholecystectomy and common bile duct stenting in the 1950s. She presented with acute abdominal pain, nausea, and vomiting. Labs showed leukocytosis, renal dysfunction, and elevated alkaline phosphatase. Computed tomography imaging revealed small bowel thickening, extraluminal gas, and a radiopaque foreign body. Patient was found to have diffuse small bowel diverticulosis with localized perforation and adhesions; segmental resection confirmed diverticulitis with perforation and foreign body reaction around a retained biliary stent. This case highlights an exceptionally delayed complication of stent migration and the importance of comprehensive history-taking when evaluating elderly patients with atypical abdominal symptoms.<\/jats:p>","DOI":"10.1093\/jscr\/rjag686","type":"journal-article","created":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T11:32:05Z","timestamp":1785065525000},"source":"Crossref","is-referenced-by-count":0,"title":["The stent that time forgot: perforated small bowel diverticulitis seventy years in the making, a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7408-3289","authenticated-orcid":false,"given":"Antonio A","family":"Bon Nieves","sequence":"first","affiliation":[{"name":"General Surgery Residency Program, UConn School of Medicine , 263 Farmington Avenue, Farmington, CT 06030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsheen","family":"Manaise","sequence":"additional","affiliation":[{"name":"General Surgery Residency Program, UConn School of Medicine , 263 Farmington Avenue, Farmington, CT 06030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime L","family":"Sexton","sequence":"additional","affiliation":[{"name":"General Surgery Residency Program, UConn School of Medicine , 263 Farmington Avenue, Farmington, CT 06030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7843-0543","authenticated-orcid":false,"given":"Kristina","family":"Kuklova","sequence":"additional","affiliation":[{"name":"General Surgery Residency Program, UConn School of Medicine , 263 Farmington Avenue, Farmington, CT 06030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3490-1627","authenticated-orcid":false,"given":"Brendan P","family":"Stewart","sequence":"additional","affiliation":[{"name":"General Surgery Residency Program, UConn School of Medicine , 263 Farmington Avenue, Farmington, CT 06030 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noubar","family":"Kevorkian","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The Hospital of Central Connecticut , 100 Grand Street, New Britain, CT 06050 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026083113524196600_ref1","volume-title":"StatPearls","author":"Meseeha","year":"2025"},{"key":"2026083113524196600_ref2","doi-asserted-by":"publisher","first-page":"109986","DOI":"10.1016\/j.clinimag.2023.109986","article-title":"CT imaging features of bile duct stent complications","volume":"103","author":"Nguyen","year":"2023","journal-title":"Clin Imaging"},{"key":"2026083113524196600_ref3","doi-asserted-by":"publisher","first-page":"622","DOI":"10.3748\/wjg.v23.i4.622","article-title":"Complications and management of forgotten long-term biliary stents","volume":"23","author":"Sohn","year":"2017","journal-title":"World J Gastroenterol"},{"key":"2026083113524196600_ref4","doi-asserted-by":"publisher","first-page":"W187","DOI":"10.2214\/AJR.11.7145","article-title":"Complications of biliary and gastrointestinal stents: MDCT of the cancer patient","volume":"199","author":"Catalano","year":"2012","journal-title":"AJR Am J Roentgenol"},{"key":"2026083113524196600_ref5","doi-asserted-by":"publisher","first-page":"9038","DOI":"10.3748\/wjg.v21.i30.9038","article-title":"Outcome of stenting in biliary and pancreatic benign and malignant diseases: a comprehensive review","volume":"21","author":"Mangiavillano","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2026083113524196600_ref6","doi-asserted-by":"publisher","first-page":"232","DOI":"10.4293\/108680811X13071180406998","article-title":"Surgical relief of small bowel obstruction by migrated biliary stent: extraction without enterotomy","volume":"15","author":"Garg","year":"2011","journal-title":"JSLS"},{"key":"2026083113524196600_ref7","doi-asserted-by":"publisher","first-page":"910","DOI":"10.1055\/a-0659-9864","article-title":"Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - updated October 2017","volume":"50","author":"Dumonceau","year":"2018","journal-title":"Endoscopy"},{"key":"2026083113524196600_ref8","doi-asserted-by":"publisher","first-page":"8819","DOI":"10.1097\/MS9.0000000000003078","article-title":"Unnoticed for 14 years: an asymptomatic forgotten common bile duct stent \u2013 a case report","volume":"87","author":"Elsharif","year":"2025","journal-title":"Ann Med Surg"},{"key":"2026083113524196600_ref9","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.3390\/medicina60081258","article-title":"Forgotten biliary plastic stents: complications, management, and clinical outcomes","volume":"60","author":"Elsebaey","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"2026083113524196600_ref10","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.ijscr.2016.11.048","article-title":"Forgotten CBD stent (102 months) with stone-stent complex: a case report","volume":"30","author":"Barai","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2026083113524196600_ref11","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.ajg.2020.04.008","article-title":"Giant stentolith: a rare complication of long-dwelling biliary endoprosthesis","volume":"21","author":"Kumar","year":"2020","journal-title":"Arab J Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag686\/70884315\/rjag686.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag686\/70884315\/rjag686.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:52:48Z","timestamp":1788198768000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag686\/8776996"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag686","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag686"}}