Stentolith in Bile Duct: A Neglected Entity—Case Report with Review of Literature

Abstract

Stentolith is a forgotten stent that acts as a nidus for stone formation leading to a stone-stent complex. Once the planned procedure is completed, these stents should be removed within 4 to 6 weeks, but if they are required for a longer period, then they should be replaced every 3 to 6 months. Devastating complications may ensue —such as cholangitis, biliary stricture, or secondary biliary cirrhosis. Management primarily comprises surgical intervention with common bile duct exploration or endoscopic clearance. The majority of patients eventually develop symptoms that lead to their diagnosis and subsequent management. This article, however, details the case of a silent stentolith and how it may have led to disastrous complications if surgical intervention was not done promptly.

Keywords

stentolith - cholelithiasis - stenting - cholangiography

Declaration

The manuscript has not been published and is not under consideration for publication in any other journal. All authors approved the manuscript and its submission to the journal, and have not published or submitted any related articles from the same case study.

Publikationsverlauf

Eingereicht: 20. Juli 2021

Angenommen: 13. Januar 2022

Artikel online veröffentlicht:
03. März 2022

• References

• 1 Barai V, Hedawoo J, Changole S. Forgotten CBD stent (102 months) with stone-stent complex: a case report. Int J Surg Case Rep 2017; 30: 162-164
• 2 Odabasi M, Arslan C, Akbulut S. et al. Long-term effects of forgotten biliary stents: a case series and literature review. Int J Clin Exp Med 2014; 7 (08) 2045-2052
• 3 Bansal VK, Misra MC, Bhowate P, Kumar S. Laparoscopic management of common bile duct “Stentolith”. Trop Gastroenterol 2009; 30 (02) 95-96
• 4 Leung JW, Sung JY, Costerton JW. Bacteriological and electron microscopy examination of brown pigment stones. J Clin Microbiol 1989; 27 (05) 915-921
• 5 Srinivasan I, Kahaleh M. Biliary stents in the millennium. Adv Ther 2011; 28 (11) 960-972
• 6 McNicoll CF, Pastorino A, Farooq U, St Hill CR. Choledocholithiasis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020
• 7 Ko CW, Lee SP. Epidemiology and natural history of common bile duct stones and prediction of disease. Gastrointest Endosc 2002; 56 (6, Suppl): S165-S169
• 8 Yoo KS, Lehman GA. Endoscopic management of biliary ductal stones. Gastroenterol Clin North Am 2010; 39 (02) 209-227
• 9 Donelli G, Guaglianone E, Di Rosa R, Fiocca F, Basoli A. Plastic biliary stent occlusion: factors involved and possible preventive approaches. Clin Med Res 2007; 5 (01) 53-60
• 10 Kumar S, Chandra A, Kulkarni R, Maurya AP, Gupta V. Forgotten biliary stents: ignorance is not bliss. Surg Endosc 2018; 32 (01) 191-195
• 11 Dumonceau J-M, Tringali A, Blero D. et al; European Society of Gastrointestinal Endoscopy. Biliary stenting: indications, choice of stents and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2012; 44 (03) 277-298
• 12 Duman AE, Yılmaz H, Hülagü S. Biliary stents are forgotten more frequently in elderly patients. Turk J Med Sci 2021; 51 (06) 3067-3072
• 13 Kumar S, Chandra A. Giant stentolith: a rare complication of long-dwelling biliary endoprosthesis. Arab J Gastroenterol 2020; 21 (02) 132-134
• 14 Bajbouj M, Treiber M, Ludwig L, Frimberger E, Schmid RM, Neu B. Forgotten biliary endoprosthesis. “Follow up” after 10 years. Endoscopy 2008; 40 (02, Suppl 2): E221
• 15 Gupta V, Chandra A, Noushif M, Singh SK. Giant stentolith: complication of a forgotten biliary stent. Endoscopy 2013; 45 (2, suppl 2 UCTN) E126
• 16 Patel TJ, Rajput S, Patel KS, Haribhakti SP. A forgotten biliary stent for 17 years: presented with perforated gallbladder and stentolith. J Dig Endosc 2014; 05 (01) 22-23