title: Percutaneous transgastric snaring for repositioning of a dislocated internal drain from a pancreatic pseudocyst.
abstract: Pancreatic pseudocysts may occur in up to 10% of patients with acute or chronic pancreatitis. Symptomatic, persistent, and infected pancreatic pseudocysts require interventional therapy. We present the case of a patient with complete dislocation of a double pigtail catheter into an infected pseudocyst and the repositioning of the drainage catheter using a transgastric snaring technique. The combination of CT-guided percutaneous puncture and fluoroscopic snaring permitted minimally invasive management of this rare complication.
authors.affiliation: Department of Diagnostic Radiology, University Hospital, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany. mahnken@rad.rwth-aachen.de
authors.forename: Andreas H
authors.initials: AH
authors.lastname: Mahnken
authors.forename: Rolf W
authors.initials: RW
authors.lastname: Günther
authors.forename: Ron
authors.initials: R
authors.lastname: Winograd
mesh_terms: D000369:Aged, 80 and over; D000792:Angiography; D003287:Contrast Media; D020878:Device Removal; D004322:Drainage / Q000295:instrumentation*; D005260:Female; D005548:Foreign-Body Migration / Q000628:therapy*; D006801:Humans; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*; D011677:Punctures; D015641:Radiography, Interventional; D036542:Tomography, Spiral Computed
chemical_list: D003287:Contrast Media