Management of a persistent pancreatic fistula secondary to a ruptured pseudocyst with endoscopic insertion of an expandable metal stent.
A case of pancreatic fistula successfully managed by the endoscopic insertion of an expanding-mesh metal stent into the pancreatic duct is reported. The patient had developed a fistula following rupture of a pancreatic pseudocyst, and attempted transpapillary drainage using plastic endoprostheses had failed due to prosthesis migration. Insertion of a Strecker metal stent was followed by rapid and sustained clinical improvement and cessation of fistula drainage.
Gane
E
E
Auckland Hospital, Sunderland, United Kingdom.
Fata'ar
S
S
Hamilton
I
I
D000368:Aged; D002404:Catheterization; D002908:Chronic Disease; D004322:Drainage; D016145:Endoscopy, Digestive System / Q000379:methods; D005260:Female; D006801:Humans; D010185:Pancreatic Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000150:complications*; D011475:Prosthesis Failure; D012422:Rupture, Spontaneous; D015607:Stents; D013526:Surgical Mesh