Fractured migrated oesophageal stent fragment presenting as small bowel obstruction three years after insertion

Abstract

Oesophageal stent migration is a recognised complication; however, few present distal to the stomach causing obstruction. To date, this has never been reported as occurring later than 2 years after insertion. An 84-year-old woman presented with small bowel obstruction secondary to a fractured migrated metallic oesophageal stent fragment; this occurred 3 years after placement for a benign oesophageal stricture, which had failed conservative management. Intra-operatively, the fractured segment of oesophageal stent was found at the ileocaecal junction.