title: Distal migration of a transanastomotic pancreatic stent resulting in bowel perforation 19 years after pancreatoduodenectomy: report of a case.
abstract: A 75-year-old woman who had undergone pancreatoduodenectomy 19 years earlier was referred to us for investigation of progressive abdominal pain without conclusive preliminary complementary tests. Computed tomography enabled us to identify that the transanastomotic pancreatic stent had migrated distally, resulting in bowel perforation. She underwent surgery and the foreign body was removed.
authors.affiliation: Department of General Surgery, University Clinic of Navarra, Avda Pío XII 36, 31008, Pamplona, Navarra, Spain, pmtnezortega@gmail.com.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Ortega
authors.forename: Gabriel
authors.initials: G
authors.lastname: Zozaya-Larequi
authors.forename: Jorge
authors.initials: J
authors.lastname: Arredondo
authors.forename: Pablo
authors.initials: P
authors.lastname: Martí-Cruchaga
authors.forename: Manuel
authors.initials: M
authors.lastname: Bellver
authors.forename: Carlos
authors.initials: C
authors.lastname: Sánchez-Justicia
authors.forename: Fernando
authors.initials: F
authors.lastname: Rotellar
authors.forename: Fernando
authors.initials: F
authors.lastname: Pardo
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D018450:Disease Progression; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D010179:Pancreas / Q000000981:diagnostic imaging; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
references.citation: Am J Surg. 2000 Aug;180(2):115-6
references.pmid: 11044524
references.citation: Gastrointest Endosc. 2010 Aug;72(2):449-51
references.pmid: 20541191
references.citation: Gastrointest Endosc. 2004 May;59(6):719-24
references.pmid: 15114323
references.citation: Ann Surg. 1997 Nov;226(5):632-41
references.pmid: 9389397
references.citation: J Surg Educ. 2007 Jul-Aug;64(4):220-3
references.pmid: 17706575
references.citation: Am J Surg. 2010 Jun;199(6):759-64
references.pmid: 20074698
references.citation: Int J Pancreatol. 1999 Jun;25(3):211-5
references.pmid: 10453422
references.citation: Anticancer Res. 1991 Sep-Oct;11(5):1831-48
references.pmid: 1685076
references.citation: Surg Today. 2014 Jul;44(7):1207-13
references.pmid: 23842691
references.citation: Gastrointest Endosc. 1992 May-Jun;38(3):341-6
references.pmid: 1607087
references.citation: JOP. 2013 May 10;14(3):273-6
references.pmid: 23669478
references.citation: J Interv Gastroenterol. 2012 Oct;2(4):205-206
references.pmid: 23687612
references.citation: J Hepatobiliary Pancreat Sci. 2012 Sep;19(5):566-77
references.pmid: 22869100