An Invading Stent: Conservative Management of a Penetrating Splenic Injury by a Migrated Pancreatic Duct Stent

Authors

Jay Bapaye, Rochester General HospitalFollow
Ahmed Shehadah, Rochester General HospitalFollow
Chengu Niu, Rochester General HospitalFollow
Anas Hashem, Rochester General HospitalFollow
Rutwik Pradeep Sharma, Rochester Regional Health SystemFollow
Patrick Okolo, Rochester General HospitalFollow

Author Credentials

Jay Bapaye, MD

Ahmed Shehadah, MD

Anas Hashem, MD

Chengu Niu, MD

Rutwik Sharma, MD

Patrick Okolo, MD, MPH, FASGE

Author ORCID Identifier

0000-0002-4118-8770

Abstract

Pancreatic duct (PD) stenting is a common treatment modality for PD calculi or strictures, which are common complications of chronic pancreatitis. PD stent migration is a described complication of the procedure. Penetrating splenic injury may result in life-threatening hemorrhage, often requiring splenic artery embolization or splenectomy. Herein, we describe a unique case of a 49- year-old female with chronic pancreatitis and PD stent who presented with abdominal pain. A computed tomography of her abdomen revealed the distal end of her PD stent to have migrated internally through her spleen with an associated perisplenic fluid collection. After initial clinical stabilization she underwent an endoscopic retrograde cholangiopancreatography which revealed the proximal end of the migrated stent in the duodenum and the stent was successfully with improvement in clinical status.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

Recommended Citation

Bapaye J, Shehadah A, Niu C, Hashem A, Sharma R, Okolo P. An Invading Stent: Conservative Management of a Penetrating Splenic Injury by a Migrated Pancreatic Duct Stent. Advances in Clinical Medical Research and Healthcare Delivery. 2022; 2(4). doi: 10.53785/2769-2779.1131.