# Bowel Obstruction From Biliary Stent Migration: An Unusual Case of Abdominal Pain

## TL;DR

A 73-year-old woman experienced abdominal pain from a migrated biliary stent, highlighting the importance of proper stent selection and follow-up care.

## Contribution

This case report highlights an unusual complication of biliary stent migration and emphasizes the need for careful stent selection and patient follow-up.

## Key findings

- A dislodged biliary stent caused small bowel obstruction in a 73-year-old female.
- The case underscores the importance of follow-up visits, especially for noncompliant patients.

## Abstract

Endoscopic biliary stent placement is an important procedure that is commonly done in patients with malignant obstruction of the biliary tree. However, it can also be done to relieve non-maligant obstructions short term until more curative surgical interventions can be performed. There are two main types of stents used for these procedures: self-expanding metal stents (SEMSs) and plastic stents. Each of these stent types has different indications, and determining the correct stent for each individual patient is important. Here, we present a case of a 73-year-old female who presented with abdominal pain due to small bowel obstruction caused by a dislodged biliary duct stent. We hope to promote more focus on selecting the right stent type for each patient and encouraging follow-up visits after placement, especially for those with a history of medical noncompliance.