title: Symptomatic stent cast.
abstract: Biliary stent occlusion is a major complication of endoscopic stent insertion and results in repeat procedures. Various theories as to the etiology have been proposed, the most frequently studied is the attachment of gram negative bacteria within the stent. Several studies have shown prolongation of stent patency with antibiotic prophylaxis. We report the case of stent occlusion from a cast of a previously inserted straight biliary stent; a "stent cast" in an 86-year-old woman with obstructive jaundice. This was retrieved with the lithotrypter and she made an uneventful recovery. This is the first reported case of a biliary stent cast.
authors.affiliation: Department of Gastroenterology and Hepatology, Cork University Hospital, Cork, Ireland. keohanejohn@gmail.com
authors.forename: John
authors.initials: J
authors.lastname: Keohane
authors.forename: Michael
authors.initials: M
authors.lastname: Moore
authors.forename: Seamus
authors.initials: S
authors.lastname: O'Mahony
authors.forename: Orla
authors.initials: O
authors.lastname: Crosbie
mesh_terms: D000369:Aged, 80 and over; D001652:Bile Ducts / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D042882:Gallstones / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008096:Lithotripsy; D011475:Prosthesis Failure; D012008:Recurrence; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*