Double sigmoid colon perforation following a migrated biliary stent

A 76-year-old woman was admitted to our hospital with abdominal pain, distension, nausea and fever. Three weeks earlier the patient was jaundiced and the medical check-up with ERCP revealed slight dilatation of the common bile duct due to an impacted stone in its distal part. The stone was extracted, and a plastic stent 10French/11cm was inserted for internal biliary drainage. The routine clinical investigations revealed diverticulosis of the colon. The patient had been scheduled for elective laparoscopic cholecystectomy and resection of the sigma. Based on that past medical history, the clinical signs and the r…