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KMID : 0882420130840040556
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Korean Journal of Medicine
2013 Volume.84 No. 4 p.556 ~ p.561
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Case of Acute Recurrent Pancreatitis Caused by Proximal Migration of a Prophylactic Pancreatic Stent
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Lee Jae-Kwang
Kim Myung-Hwan
Lee Jae-June
Kang Ji-Hoon
Kim Gi-Ae
Kim Min-Soo
Kim Joon-Seok
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Abstract
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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.
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KEYWORD
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Pancreatitis, Stents, Foreign-Body Migration
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