Broken stent of endoscopic retrograde cholangiopancreatography mimicking a common bile duct stone: a case report

Autor:	AmudaRavichandar Pranavi, Sathasivam Sureshkumar, Deepak Bharathi, Vikram Kate, GubbiShamanna Sreenath, Ananthakrishnan Ramesh, Thirugnanasambandam Nelson
Rok vydání:	2019
Předmět:	medicine.medical_specialty Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry medicine.medical_treatment Stent equipment and supplies medicine.disease Surgery surgical procedures operative medicine Common bile duct stone cardiovascular diseases business
Zdroj:	International Journal of Research in Medical Sciences. 7:1960
ISSN:	2320-6012 2320-6071
DOI:	10.18203/2320-6012.ijrms20191709
Popis:	Long standing biliary stent for biliary stricture may have complications like cholangitis, cholecystitis, stent fracture and stent migration. Treatment includes re-do endoscopic retrograde cholangiopancreatography, removal of fractured stent and restenting. Authors report a case of fractured biliary stent mimicking as distal common bile duct stone. Patient presented with features of cholangitis with history of endoscopic stenting 6 years back but lost follow up thereafter. Ultrasound showed 2cm calculus in distal common bile duct and the stent was seen on endoscopy through the papilla in the duodenum. Contrast enhanced computed tomography of abdomen showed radio opaque dense shadow in the distal common bile duct suggesting possibility of broken biliary stent. Redo endoscopic retrograde cholangiopancreatography failed to remove the fractured stent. A new stent was placed without complications. Patient underwent open common bile duct exploration and the fractured stent was removed. Patient recovered completely after the procedure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ef8fdb5e3773d63580bd54f0eecb157f https://doi.org/10.18203/2320-6012.ijrms20191709 Zobrazit plný text záznamu