title: Percutaneous Approach for Removal of a Migrated Cystogastric Stent from a Pancreatic Pseudocyst: A Case Report and Review of the Literature.
abstract: Stent migration into pancreatic pseudocysts during endosonographic (EUS) cystogastrostomy is a relatively rare complication. The migrated stent may induce, if it remains within the body, infection and perforation. Therefore, retrieval and/or re-stenting is necessary. Endoscopic retrieval is commonly attempted first. However, it is technically challenging and largely dependent on the skill of the endoscopists; if retrieval is unsuccessful, surgery is usually carried out. We report a case of stent migration into a pancreatic pseudocyst that was retrieved with a percutaneous approach under imaging guidance using a simple technique with available devices. A technique that enhances the role of interventional radiology in the management of this rare complication.
authors.affiliation: Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh, Saudi Arabia.
authors.forename: Al-Shehri
authors.initials: AS
authors.lastname: Shaker
authors.affiliation: Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh, Saudi Arabia.
authors.forename: Shahbaz
authors.initials: S
authors.lastname: Qazi
authors.affiliation: Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh, Saudi Arabia.
authors.forename: Azzam
authors.initials: A
authors.lastname: Khankan
authors.affiliation: Section of Interventional Radiology, Department of Medical Imaging, King Abdul-Aziz Medical City-Riyadh, Saudi Arabia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al-Muaikeel
mesh_terms: D000368:Aged; D020878:Device Removal; D019160:Endosonography; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging* / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed
keywords: Drain; Endoscopic ultrasound; Migrated Stent; Pancreas; Percutaneous; Pseudocyst; Removal; Snaring