Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Migrated Pancreaticojejunal Stent Forming a Stent-Stone Complex in the Jejunum with Resultant Small Bowel Obstruction: A Case Report

췌공장 스텐트의 공장으로의 이동으로 발생한 스텐트-돌 복합체 형성과 이로 인한 소장폐색: 증례 보고

  • Jiwon Kim (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Young Han Kim (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences) ;
  • Byung-Hee Lee (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences)
  • 김지원 (한국원자력의학원 원자력병원 영상의학과) ;
  • 김영한 (한국원자력의학원 원자력병원 영상의학과) ;
  • 이병희 (한국원자력의학원 원자력병원 영상의학과)
  • Received : 2022.07.12
  • Accepted : 2022.10.27
  • Published : 2023.03.01
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Abstract

Transanastomotic pancreatic duct stent placement during reconstruction following pancreaticoduodenectomy is widely performed to prevent postoperative pancreatic fistulas and duct stenosis. However, stent-related complications, such as stent occlusion and migration, may occur. Here, we report a rare case of a migrated pancreatic duct plastic stent. After pylorus-preserving pancreaticoduodenectomy, the stent migrated to the jejunum and served as a nidus of the stent-stone complex, which developed jejunal obstruction. The stent-stone complex was removed by explorative laparotomy.

췌공장문합술 후 췌관 내 스텐트를 삽입하는 것은 수술 후에 췌장루나 췌관 협착의 발생을 예방하기 위해 널리 시행하는 술기이다. 그러나 삽입한 스텐트가 막히거나 이동하는 등 스텐트에 의해서도 다양한 합병증이 발생할 수 있다. 저자들은 췌관에 삽입한 플라스틱 스텐트가 이동하면서 발생된 매우 드문 합병증의 예를 보고하고자 한다. 유문부 보존 췌두부십이지장 절제술 시행 후 췌장 내 삽입한 스텐트는 공장으로 이동하여 스텐트-돌 복합체의 근원으로 작용하여 공장 폐색을 일으켰다. 스텐트-돌 복합체는 탐색적 개복술로 제거되었다.

Keywords

References

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