Pancreatic stent migration into the portal vein causing portal vein thrombosis: A rare complication of a prophylactic pancreatic stent

被引:12
作者
Leung, Wesley D. [1 ]
Parashette, Kalyan Ray [2 ]
Molleston, Jean P. [2 ]
Sherman, Stuart [1 ]
机构
[1] Indiana Univ, Med Ctr, Div Gastroenterol Hepatol, Indianapolis, IN 46202 USA
[2] James Whitcomb Riley Hosp Children, Div Pediat Gastroenterol Hepatol & Nutr, Indianapolis, IN 46202 USA
关键词
Endoscopic retrograde; cholangiopancreatography; Pancreatic stent; Portal vein thrombosis; POST-ERCP PANCREATITIS;
D O I
10.1016/j.pan.2012.08.005
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This report describes the first case of a novel complication of prophylactic pancreatic stents used to reduce the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis, whereby the stent migrated into the portal vein resulting in portal vein thrombosis. We review the literature and discuss the potential mechanisms that caused this complication. The approach and prompt treatment that resulted in a favorable clinical outcome are described. Copyright (C) 2012, IAP and EPC. Published by Elsevier India, a division of Reed Elsevier India Pvt. Ltd. All rights reserved.
引用
收藏
页码:463 / 465
页数:3
相关论文
共 7 条
[1]   Pancreatic stents for prophylaxis against post-ERCP pancreatitis: a meta-analysis and systematic review [J].
Choudhary, Abhishek ;
Bechtold, Matthew L. ;
Arif, Murtaza ;
Szary, Nicholas M. ;
Puli, Srinivas R. ;
Othman, Mohamed O. ;
Pais, Wilson P. ;
Antillon, Mainor R. ;
Roy, Praveen K. .
GASTROINTESTINAL ENDOSCOPY, 2011, 73 (02) :275-282
[2]  
Deviere Jacques, 2011, Gastrointest Endosc Clin N Am, V21, P499, DOI 10.1016/j.giec.2011.04.011
[3]   INCIDENCE AND RISK-FACTORS FOR BILIARY AND PANCREATIC STENT MIGRATION [J].
JOHANSON, JF ;
SCHMALZ, MJ ;
GEENEN, JE .
GASTROINTESTINAL ENDOSCOPY, 1992, 38 (03) :341-346
[4]   PANCREATIC STENTS CAN INDUCE DUCTAL CHANGES CONSISTENT WITH CHRONIC-PANCREATITIS [J].
KOZAREK, RA .
GASTROINTESTINAL ENDOSCOPY, 1990, 36 (02) :93-95
[5]  
Lahoti S, 1998, GASTROINTEST ENDOSC, V50, P124
[6]   Improved Stent Characteristics for Prophylaxis of Post-ERCP Pancreatitis [J].
Rashdan, Abdullah ;
Fogel, Evan L. ;
McHenry, Lee, Jr. ;
Sherman, Stuart ;
Temkit, M'Hamed ;
Lehman, Glen A. .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004, 2 (04) :322-329
[7]  
Vimalraj V, 2006, J PANCREAS, V7, P660