A Case of Acute Recurrent Pancreatitis Caused by Proximal Migration of a Prophylactic Pancreatic Stent.
- Author:
Jae Kwang LEE
1
;
Myung Hwan KIM
;
Jae June LEE
;
Ji Hoon KANG
;
Gi Ae KIM
;
Minsoo KIM
;
Joon Seok KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Stents;
Foreign-Body Migration
- MeSH:
Cholangiopancreatography, Endoscopic Retrograde;
Constriction, Pathologic;
Follow-Up Studies;
Foreign-Body Migration;
Gallstones;
Humans;
Pancreatic Ducts;
Pancreatitis;
Stents
- From:Korean Journal of Medicine
2013;84(4):556-561
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute pancreatitis is one of the most common complications of endoscopic retrograde cholangiopancreatography (ERCP). Prophylactic pancreatic stents are effective for reducing the risk for post-ERCP pancreatitis in high-risk patients. However, an unretrieved pancreatic stent, as a result of proximal migration, can cause pancreatitis. We experienced a case of recurrent acute pancreatitis associated with a pancreatic ductal leak and stricture due to proximal migration of a prophylactic stent in a patient with suspected acute gallstone pancreatitis. We endoscopically retrieved the proximally migrated stent and inserted a new pancreatic stent. Follow-up pancreatic imaging showed that the pancreatitis and pancreatic ductal leak/stricture had resolved.
