Migration of a self-expandable metallic stent into a drained pseudocyst after endoscopic pseudocystogastrostomy and its endoscopic extraction

Czech version

Authors: Martin Štěpán ¹; O. Urban ^2,3,4; P. Fojtík ¹; Přemysl Falt ^1,3,4
Authors‘ workplace: Centrum péče o zažívací trakt, Vítkovická nemocnice, a. s., Ostrava ¹; II. interní klinika – gastroenterologická a hepatologická LF UP a FN Olomouc ²; LF OU v Ostravě ³; LF UK v Hradci Králové ⁴
Published in: Gastroent Hepatol 2018; 72(3): 221-224
Category:
doi: https://doi.org/10.14735/amgh2018221

Overview

Pancreatic pseudocysts and walled-off pancreatic necrosis are local complications of acute and chronic pancreatitis. Their treatment, if indicated, consists of percutaneous, surgical or endoscopic drainage. In recent years, the increasingly preferred option is endoscopic ultrasound-guided transmural drainage for fluid collection. A relatively rare complication is the migration of an introduced stent after endoscopic drainage. We present a 52-year-old patient with chronic pancreatitis and a symptomatic pseudocyst, for which treatment by endoscopic pseudocystogastrostomy with a fully covered self-expanding metal stent was complicated by the development of a pneumoperitoneum. After surgical revision, the presence of an originally introduced stent in the residual pseudocyst was detected by imaging techniques and was subsequently successfully extracted by endoscopy through the newly introduced metallic stent.

Key words:
pancreatic pseudocyst – endoscopic ultrasound-guided transmural drainage – fully covered self-expanding metalic stent – stent migration

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted: 15. 3. 2018

Accepted: 24. 4. 2018

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