Vertical rotation and impaction to the choledochal duct of a migrated biliary self-expanding metal stent.
Surg Laparosc Endosc Percutan Tech
; 17(5): 416-7, 2007 Oct.
Article
en En
| MEDLINE
| ID: mdl-18049404
ABSTRACT
Self-expanding metal stent (SEMS) placement is a well accepted and highly effective method for both treating and palliating obstructive lesions of the biliary tree, still complications may occur including premature occlusion and stent migration. Migration can occur either proximally or distally, usually early after SEMS placement and almost exclusively in covered ones. Distal migration is the most common type and is reported in 5.8% to 6% of cases. In our case, proximal migration of the stent occurred and surprisingly it rotated and impacted to the common bile duct transversally. This precluded any attempt to reposition or remove the SEMS. We effectively treated this unusual complication by placing an additional plastic stent into the common bile duct that restored biliary drainage.
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Banco de datos:
MEDLINE
Asunto principal:
Colestasis Extrahepática
/
Stents
/
Migración de Cuerpo Extraño
/
Conducto Colédoco
/
Implantación de Prótesis
/
Metales
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Surg Laparosc Endosc Percutan Tech
Asunto de la revista:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Grecia