<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202025000200027</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2025.agosto.27</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perforación colónica por migración de prótesis biliar]]></article-title>
<article-title xml:lang="en"><![CDATA[Colonic perforation due to biliary stent migration]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[Diosnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bael]]></surname>
<given-names><![CDATA[Luis Nicolás Núñez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional De Itauguá Servicio De Cirugía ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>27</fpage>
<lpage>29</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202025000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202025000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202025000200027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se presenta el caso de un paciente masculino de 84 años con antecedentes de colangiopancreatografía retrógrada endoscópica (CPRE) y colocación de un stent biliar por pancoledocolitiasis hace dos años. El paciente consultó por un cuadro de 15 días de evolución con dolor en el hipocondrio derecho, fiebre de 38°C en dos ocasiones y una pérdida de peso de 6 kg aproximadamente. La evaluación reveló una perforación colónica secundaria a la migración de la prótesis biliar, una complicación inusual de la CPRE. Este caso subraya la importancia de un seguimiento cuidadoso en pacientes con stents biliares, incluso años después de la intervención, debido al riesgo de migraciones tardías y complicaciones graves, como la perforación de órganos adyacentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT An 84-year-old male patient with a history of endoscopic retrograde cholangiopancreatography (ERCP) and biliary stent placement for choledocholithiasis two years prior presented with a 15-day history of right upper quadrant abdominal pain, two episodes of fever reaching 38°C, and an unintentional weight loss of approximately 6 kg. Clinical evaluation revealed a colonic perforation secondary to migration of the biliary stent, an uncommon complication of ERCP. This case highlights the importance of careful long-term follow-up in patients with biliary stents, even years after the procedure, due to the risk of late migrations and severe complications such as perforation of adjacent organs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="es"><![CDATA[migración de stent biliar]]></kwd>
<kwd lng="es"><![CDATA[perforación colónica]]></kwd>
<kwd lng="es"><![CDATA[complicación tardía]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
<kwd lng="en"><![CDATA[biliary stent migration]]></kwd>
<kwd lng="en"><![CDATA[colonic perforation]]></kwd>
<kwd lng="en"><![CDATA[delayed complication]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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