Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report

Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. En...

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Detalles Bibliográficos
Autores principales: Takaoka, Makoto, Shimatani, Masaaki, Takayama, Takuya, Miyoshi, Hideaki, Mitsuyama, Toshiyuki, Masuda, Masataka, Ito, Takashi, Nakamaru, Koh, Miyamoto, Sachi, Tokuhara, Mitsuo, Ikeura, Tsukasa, Okazaki, Kazuichi, Naganuma, Makoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8222120/
https://www.ncbi.nlm.nih.gov/pubmed/33390497
http://dx.doi.org/10.2169/internalmedicine.6394-20
Descripción
Sumario:Self-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case.

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