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©The Author(s) 2024.
World J Gastrointest Endosc. Jul 16, 2024; 16(7): 432-438
Published online Jul 16, 2024. doi: 10.4253/wjge.v16.i7.432
Published online Jul 16, 2024. doi: 10.4253/wjge.v16.i7.432
Ref. | Gender, age | Indication for ERCP | Procedure | Stent | Clinical manifestation | Treatment | Follow-up | Outcome |
Stableforth et al[6], 2011 | Male, 73 | Pancreatic cancer | PBS replacement | 7-Fr, 10-cm straight | Consistent jaundice; Brisk bleeding after removal of the stent; Filling of the portal vein and rapid washout of contrast material; confirmed by CT | PBS left in situ; metal stent placement via PTC | 2 months | No complications |
Miloudi et al[7], 2011 | Female, 60 | Benign narrowing of the CBD after transplantation | PBS replacement | 10-Fr, 10-cm | Difficult insertion of the new PBS; Fever and abdominal pain shortly after ERCP; Confirmed by abdominal ultrasound and CT | Surgery to remove the prosthesis, close the fistula, repair the portal vein, and develop hepatico-jejunal anastomosis | Several days | Uneventful |
Leung et al[8], 2012 | Female, 10 | Recurrent pancreatitis | Pancreatic sphincterotomy, pancreatic stent placement | 3-Fr, 6 cm, pigtail | Fever, abdominal pain, and elevated amylase; Confirmed by ultrasound and CT | Remove the stent by ERCP on the 3rd postoperative day | 3 months | Portal vein thrombosis gradually resolved |
Dawwas et al[9], 2013 | Male, 69 | CBD stones | Difficult cannulation, biliary sphincterotomy, PBS placement | 7-Fr, 4-cm, double pigtail | Bleeding after removal of previous stent, and faint, rapidly dissipating, biliary-like opacification on contrast injections | Abandon the procedure immediately | 2 months | Gas and thrombosis in the portal vein gradually resolved |
So et al[10], 2015 | Male, 55 | Hilar invasion of hepatocellular carcinoma | PBS replacement | NA | Recurrent melena and bacteremia; Exacerbated bleeding after removing the stent; Cholangiography revealed leakage of contrast dye into the portal vein | Placing fully covered self-expandable metal stent in the bile duct | Several days | Recovering from recurrent bacteremia and bleeding |
Russo et al[11], 2017 | Female, 39 | Acute cholangitis | Biliary sphincterotomy, failed sweeping of stones by a ballon, and PBS placement | 7-Fr, 7-cm | Resistance on stent placement, bleeding upon stent deployment | PBS left in situ, emergent laparotomy to repair the injury and T-tube placement | Several days | Resolve from the surgery |
João et al[12], 2022 | Female, 60 | Biliary anastomotic stenosis after liver transplantation | Difficult cannulation, biliary sphincterotomy, balloon dilation, PBS placement | Two 8.5-Fr, 9.0-cm | Spurting hemorrhage when removing the stent | Endoscopic removal of stent, percutaneous transhepatic fully covered self-expanded metal stent in the portal vein | 1 month | Clinically stable, no bleeding relapse |
Lin et al[3], 2023 | Male, 34 | CBD stones, cholangitis | Difficult cannulation, sphincterotomy, balloon dilation, PBS placement | 7-Fr | Hemobilia upon inserting the stent; Confirmed by CT scan | Surgery: Cholecystectomy and CBD stones removement, endoscopic removal of stent | 9 months | Uneventful |
Taşar et al[4], 2023 | Female, 54 | CBD stones, cholangitis | Difficult cannulation, sphincterotomy, stone extraction, PBS placement | 10-Fr, 7-cm | Hemorrhage, fever and persistent jaundice; Confirmed by CT scan | Laparoscopic exploration with ERCP | Several months | Chronic portal thrombus |
- Citation: Wu R, Zhang F, Zhu H, Liu MD, Zhuge YZ, Wang L, Zhang B. Recognition and management of stent malposition in the portal vein during endoscopic retrograde cholangiopancreatography: A case report. World J Gastrointest Endosc 2024; 16(7): 432-438
- URL: https://www.wjgnet.com/1948-5190/full/v16/i7/432.htm
- DOI: https://dx.doi.org/10.4253/wjge.v16.i7.432