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Gastroenterology Commons

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Rochester Regional Health

Pancreatitis

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Full-Text Articles in Gastroenterology

An Invading Stent: Conservative Management Of A Penetrating Splenic Injury By A Migrated Pancreatic Duct Stent, Jay Bapaye, Ahmed Shehadah, Chengu Niu, Anas Hashem, Rutwik Pradeep Sharma, Patrick Okolo Dec 2022

An Invading Stent: Conservative Management Of A Penetrating Splenic Injury By A Migrated Pancreatic Duct Stent, Jay Bapaye, Ahmed Shehadah, Chengu Niu, Anas Hashem, Rutwik Pradeep Sharma, Patrick Okolo

Advances in Clinical Medical Research and Healthcare Delivery

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 …