Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 21, 2015; 21(7): 2249-2253
Published online Feb 21, 2015. doi: 10.3748/wjg.v21.i7.2249
Stent displacement in endoscopic pancreatic pseudocyst drainage and endoscopic management
Guo-Xin Wang, Xiang Liu, Sheng Wang, Nan Ge, Jin-Tao Guo, Wen Liu, Si-Yu Sun
Guo-Xin Wang, Xiang Liu, Sheng Wang, Nan Ge, Jin-Tao Guo, Wen Liu, Si-Yu Sun, Endoscopic Center, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China
Author contributions: Wang GX and Sun SY designed the report; Guo JT, Liu W and Ge N collected the patient’s clinical data; Wang GX, Liu X and Wang S wrote the paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Si-Yu Sun, Professor, Endoscopic Center, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Shenyang 110004, Liaoning Province, China. dr_sunsiyu@163.com
Telephone: +86-24-9661526111 Fax: +86-24-83956220
Received: July 8, 2014
Peer-review started: July 8, 2014
First decision: August 6, 2014
Revised: August 29, 2014
Accepted: October 14, 2014
Article in press: October 15, 2014
Published online: February 21, 2015
Abstract

A pancreatic pseudocyst (PPC) is a collection of pancreatic fluid enclosed by a non-epithelialized, fibrous or granulomatous wall. Endoscopic pancreatic pseudocyst drainage (PPD) has been widely used clinically to treat PPCs. The success and complications of endoscopic PPD are comparable with surgical interventions. Stent displacement is a rare complication after endoscopic PPD. Almost all the complications of endoscopic PPD have been managed surgically, and there is rare report involving the endoscopic treatment of intraperitoneal stent displacement. We report here a case of stent displacement after endoscopic ultrasound- and fluoroscopy-guided PPD in a 41-year-old female patient with a PPC in the tail of the pancreas. The endoscopic treatment was successfully performed to remove the displaced stent. The clinical course of the patient was unremarkable. The cyst had significantly reduced and disappeared by 12 wk. We found that both endoscopic ultrasound and fluoroscopy should be used during endoscopic PPD to avoid stent displacement. The displaced stent can be successfully treated by endoscopic removal.

Keywords: Endoscopic management, Endoscopic ultrasound, Pancreatic pseudocyst, Stent displacement

Core tip: Almost all the complications of endoscopic pancreatic pseudocyst drainage have been managed surgically, and there is rare report involving the endoscopic treatment of intraperitoneal stent displacement. This case report not only presents a possible cause of stent displacement during endoscopic ultrasound-pancreatic pseudocyst drainage, but also discusses a novel method of endoscopic stent removal.