Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration
A 49-year-old man was referred to our hospital for an abnormality of the hepatobiliary enzyme. The patient was diagnosed with primary sclerosing cholangitis 9 years ago, and he had a biliary stent with a string placed as an inside stent. We attempted to remove the stent 6 months later, but the strin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2019-03-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/498914 |
| _version_ | 1818990891618009088 |
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| author | Masashi Morimachi Masami Ogawa Masashi Yokota Aya Kawanishi Yohei Kawashima Tetsuya Mine |
| author_facet | Masashi Morimachi Masami Ogawa Masashi Yokota Aya Kawanishi Yohei Kawashima Tetsuya Mine |
| author_sort | Masashi Morimachi |
| collection | DOAJ |
| description | A 49-year-old man was referred to our hospital for an abnormality of the hepatobiliary enzyme. The patient was diagnosed with primary sclerosing cholangitis 9 years ago, and he had a biliary stent with a string placed as an inside stent. We attempted to remove the stent 6 months later, but the string was cut off, so the stent could not be removed. Removal was attempted again, but the patient cancelled the outpatient appointments. During the examination performed at the present visit, we discovered that the biliary stent had migrated into the bile duct, and a stone had formed around the stent. We attempted to remove the stent-stone complex by endoscopic retrograde cholangiopancreatography, but it was difficult; thus, we decided to implant a new biliary stent and remove the other stent later. When we performed endoscopic retrograde cholangiopancreatography again 2 days later, the bile duct axis was linearized thanks to the additional stent, enabling us to grab the migrated stent with stent-stone complex using grasping forceps and to successfully pull it out. By implanting an additional plastic stent temporarily, we were able to straighten the biliary axis and endoscopically remove the biliary stent that migrated and caused the development of stent-stone complex in a 2-staged approach. |
| first_indexed | 2024-12-20T20:01:35Z |
| format | Article |
| id | doaj.art-08ee041dde0d45a99d9e7703ff4e5733 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-20T20:01:35Z |
| publishDate | 2019-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-08ee041dde0d45a99d9e7703ff4e57332022-12-21T19:28:02ZengKarger PublishersCase Reports in Gastroenterology1662-06312019-03-0113111311710.1159/000498914498914Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term MigrationMasashi MorimachiMasami OgawaMasashi YokotaAya KawanishiYohei KawashimaTetsuya MineA 49-year-old man was referred to our hospital for an abnormality of the hepatobiliary enzyme. The patient was diagnosed with primary sclerosing cholangitis 9 years ago, and he had a biliary stent with a string placed as an inside stent. We attempted to remove the stent 6 months later, but the string was cut off, so the stent could not be removed. Removal was attempted again, but the patient cancelled the outpatient appointments. During the examination performed at the present visit, we discovered that the biliary stent had migrated into the bile duct, and a stone had formed around the stent. We attempted to remove the stent-stone complex by endoscopic retrograde cholangiopancreatography, but it was difficult; thus, we decided to implant a new biliary stent and remove the other stent later. When we performed endoscopic retrograde cholangiopancreatography again 2 days later, the bile duct axis was linearized thanks to the additional stent, enabling us to grab the migrated stent with stent-stone complex using grasping forceps and to successfully pull it out. By implanting an additional plastic stent temporarily, we were able to straighten the biliary axis and endoscopically remove the biliary stent that migrated and caused the development of stent-stone complex in a 2-staged approach.https://www.karger.com/Article/FullText/498914Migrated biliary stentStent-stone complexEndoscopic retrograde cholangiopancreatography |
| spellingShingle | Masashi Morimachi Masami Ogawa Masashi Yokota Aya Kawanishi Yohei Kawashima Tetsuya Mine Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration Case Reports in Gastroenterology Migrated biliary stent Stent-stone complex Endoscopic retrograde cholangiopancreatography |
| title | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
| title_full | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
| title_fullStr | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
| title_full_unstemmed | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
| title_short | Successful Endoscopic Removal of a Biliary Stent with Stent-Stone Complex after Long-Term Migration |
| title_sort | successful endoscopic removal of a biliary stent with stent stone complex after long term migration |
| topic | Migrated biliary stent Stent-stone complex Endoscopic retrograde cholangiopancreatography |
| url | https://www.karger.com/Article/FullText/498914 |
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