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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 2  |  Page : 132-133

Removal of displaced double flanged metal stent in walled-off necrosis by endoscopic ultrasonography


1 Endoscopic Center, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China
2 Department of Ultrasound, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China

Correspondence Address:
Siyu Sun
Endoscopic Center, Shengjing Hospital, China Medical University, Shenyang 110004, Liaoning Province
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.180479

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Endoscopic ultrasonography (EUS)-guided walled-off necrosis drainage using a double flanged metal stent was reported for satisfactory drainage and endoscopic necrosectomy. High complication rates related to stent migration are reported. This is the first report of the removal of a displaced, double flanged metal stent in walled-off necrosis by EUS. The patient was a 62-year-old male who was suffering from mild midepigastric abdominal pain. A double flanged metal stent had been placed in our endoscopy center 8 weeks before presentation. Computed tomography demonstrated complete resolution of the walled-off necrosis; however, the stent migrated into the cyst. We dislodged the stent using forceps with real-time endosonography. In conclusion, Follow-up is important for patients with a double flanged metal stent, specifically with regards to postprocedural stent migration.


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