DOI: https://doi.org/10.36347/sasjs.2026.v12i05.023

Pages: 456-459

Background : Migration of biliary stents is a recognized complication, but distal migration causing small bowel obstruction remains rare, particularly long after pancreatic surgery. Case Presentation: An 87-year-old man with a history of pancreaticoduodenectomy for ampullary carcinoma and subsequent metallic biliary stent placement for benign biliary stricture presented with acute mechanical small bowel obstruction. Computed tomography revealed a tubular hyperdense intraluminal foreign body in the distal ileum with upstream bowel dilatation. Surgical exploration identified a calcified enterolith containing a migrated metallic biliary stent. Enterotomy and extraction were successfully performed. Conclusion : Late distal migration of biliary stents should be considered in the differential diagnosis of bowel obstruction in patients with previous biliary interventions, even many years after stent placement. Prompt surgical management ensures favorable outcomes.