Endoscopic biliary stent insertion is a well-established treatment for many benign and malignant diseases affecting the hepatobiliary and pancreatic systems. The most common complication is stent occlusion, while proximal or distal biliary stent migration is relatively rare. Distal biliary stent migration most commonly affects the duodenum and rarely the small bowel, colon or rectum. In the majority of biliary stent migrations, the biliary stent passes through the intestine without incident. Herein, we report a case of bowel perforation caused by distal biliary stent migration.
