The Teaching Point

Complete migration of a cystogastric stent into the pancreatic pseudocyst is a potentially life-threatening condition. The percutaneous approach, for removal, is simple and should be considered in the management of unsuccessful attempts or a lack of endoscopic retrieval options, which is technically challenging and requires experienced gastroenterologists. Furthermore, this approach could prevent surgery.






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From the manuscript

Percutaneous Approach for Removal of a Migrated Cystogastric Stent from a Pancreatic Pseudocyst: A Case Report and Review of the Literature

Free full text article: 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.






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1. Migrated Stent

2. Endoscopic ultrasound

3. Snaring

4. Removal

5. Pancreas

6. Pseudocyst

7. Drain

8. Percutaneous


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