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An unusual complication of oesophageal stent deployment

Departments of ¹Gastroenterology, ²Radiology and ³Histopathology, Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK

View larger version (132K): [in a new window]   Figure 1. Plain abdominal radiograph showing the olive from the stent deployment system(Do-stent) in the right iliac fossa with associated small intestinal dilatation.

View larger version (120K): [in a new window]   Figure 2. Post mortem photograph showing the olive from the stent deployment system(Do-stent) perforated through the wall of the distal small intestine. There is evidence of peritonitis. (long arrow: small intestinal loops with adhesions; short arrow: olive; circle: peritonitis)

View larger version (133K): [in a new window]   Figure 3. Low power photograph of small bowel wall at site of perforation with carcinoma extending throughout the whole wall(short thin arrow: mucosal layer; long arrow: submucosal layer; short thick arrow: muscular layer).