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Migration of a pancreatic duct stent into the peritoneal cavity during chemotherapy for pancreatic malignant lymphoma
- Source :
- Clinical journal of gastroenterology. 14(5)
- Publication Year :
- 2021
-
Abstract
- A 68-year-old man with epigastric pain was admitted for acute pancreatitis and obstructive jaundice caused by Primary pancreatic malignant lymphoma. Computed tomography showed diffuse enlargement of the whole pancreas and dilation of the main pancreatic duct and bile duct. Endoscopic retrograde cholangiopancreatography was performed to decompress these dilated ducts. After two courses of chemotherapy, follow-up computed tomography incidentally revealed migration of the pancreatic duct stent, which had perforated the contralateral duodenal wall to enter the peritoneal cavity. In the present case, pancreatic duct stent deviation was attributed to tumor shrinkage resulting from chemotherapy. In addition, stent migration into the peritoneal cavity occurred due to repeated mechanical manipulation of the pancreatic duct stent, presumably leading to partial ulceration of the duodenal wall and delayed wound healing during chemotherapy. This case may provide valuable information on the migration of pancreatic duct stents as a rare, stent-related late complication during chemotherapy.
- Subjects :
- Male
medicine.medical_specialty
Lymphoma
medicine.medical_treatment
Peritoneal cavity
medicine
Humans
Pancreas
Peritoneal Cavity
Aged
Pancreatic duct
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
business.industry
Bile duct
Gastroenterology
Pancreatic Ducts
Stent
General Medicine
equipment and supplies
medicine.disease
medicine.anatomical_structure
Pancreatitis
Acute Disease
Acute pancreatitis
Stents
Radiology
business
Subjects
Details
- ISSN :
- 18657265
- Volume :
- 14
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Clinical journal of gastroenterology
- Accession number :
- edsair.doi.dedup.....8600cae45bff74d48ac12a4df3e03cfb