Open AccessRetrieval of a self-expanding metal stent after migration and incorporation in the omental bursa, using a gastroscopic-transgastric laparoscopic rendezvous technique
Author(s) -
Maciej Patrzyk,
Przemyslaw Dierzek,
Anne Glitsch,
Hartmut Paul,
Claus–Dieter Heidecke
Publication year - 2015
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.147365
Subject(s) - medicine , rendezvous , stent , surgery , pancreatic pseudocyst , laparoscopy , radiology , pancreatitis , engineering , spacecraft , aerospace engineering
Endoscopic drainage is a widely used treatment for pancreatic pseudocysts. Drainage-related complications may be related directly to the procedure or may occur later as stents migrate or erode into adjacent structures. Migration of a self-expanding metal stent into peritoneal cavity and incorporation in the omental bursa is rare. When endoscopic retrieval fails a combined laparoscopic-endoscopic (rendezvous technique) approach offers an alternative to open surgery. We report a case of successful gastroscopic-transgastric laparoscopic removal of a stent that was dislocated into the omental bursa after a ½ year observation period.