Percutaneous Approach for Removal of a Migrated Cystogastric Stent from a Pancreatic Pseudocyst: A Case Report and Review of the Literature

Authors

  • Shaker Alshehri
  • Shahbaz Qazi
  • Azzam Khankan
  • Mohammed Al-Muaikeel

DOI:

https://doi.org/10.3941/jrcr.v10i2.2690

Keywords:

Migrated Stent, Endoscopic ultrasound, Snaring, Removal, Pancreas, Pseudocyst, Drain, Percutaneous

Abstract

Stent migration into pancreatic pseudocysts during endosonographic (EUS) cystogastrostomy is a relatively rare complication. The migrated stent may induce, if it remains within the body, infection and perforation. Therefore, retrieval and/or re-stenting is necessary. Endoscopic retrieval is commonly attempted first. However, it is technically challenging and largely dependent on the skill of the endoscopists; if retrieval is unsuccessful, surgery is usually carried out. We report a case of stent migration into a pancreatic pseudocyst that was retrieved with a percutaneous approach under imaging guidance using a simple technique with available devices. A technique that enhances the role of interventional radiology in the management of this rare complication.

Author Biographies

Shaker Alshehri

Interventional Radiologist Assistant Consultant, Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh

 

Shahbaz Qazi

Interventional Radiology Consultant, Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh

Azzam Khankan

Interventional Radiology Consultant, Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh

Mohammed Al-Muaikeel

Assistant Professor, College of Medicine, King Saud Bin Abdul-Aziz University for Health and Science, Interventional Radiology Consultant, Department of Medical Imaging, King Abdul Aziz Medical City, Riyadh, Saudi Arabia

Published

2016-02-24

Issue

Section

Interventional Radiology