{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:11:30Z","timestamp":1787505090115,"version":"build-2736575974"},"reference-count":17,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,21]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Endoscopic biliary stenting is a well-recognised method of palliation of malignant biliary obstruction. Distal stent migration causing duodenal perforation is an uncommon complication of this procedure and is usually delayed. Early stent migration resulting in duodenal perforation is extremely rare and can be easily overlooked. We present a case of stent migration and resultant intraperitoneal duodenal perforation that occurred 24\u2009hours following plastic stent insertion for a malignant biliary stricture in a 63-year-old woman. The patient required emergent abdominal laparoscopy with the placement of intraperitoneal drain, followed by endoscopic extraction of the stent and closure of the defect using a through-the-scope clip. This case report addresses intraperitoneal duodenal perforation secondary to early migration of biliary stents. Special emphasis is placed on the importance of prompt diagnosis and the use of endoclips in the management of this serious complication of endoprosthesis.<\/jats:p>","DOI":"10.1136\/bcr-2019-230324","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T08:06:43Z","timestamp":1567670803000},"page":"e230324","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Intraperitoneal duodenal perforation secondary to early migration of biliary stent: closure with through-the-scope clip"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9177-0980","authenticated-orcid":false,"given":"Khaled","family":"Jadallah","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bara","family":"Alzubi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aroob","family":"Sweidan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdel R","family":"Almanasra","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Urology, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, 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