Gastrointest Interv.  2017 Oct;6(3):187-190. 10.18528/gii170014.

Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis

Affiliations
  • 1Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. dklee@yuhs.ac
  • 2Pancreatobiliary Cancer Clinic, Department of Surgery, Gangnam Severance Hospital, Yonsei University Health System, Seoul, Korea.

Abstract

SUMMARY OF EVENT: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. TEACHING POINT: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis.

Keyword

Cholangiopancreatography, endoscopic retrograde; Pancreas; Pancreatitis, chronic; Perforation

MeSH Terms

Cholangiopancreatography, Endoscopic Retrograde
Emergencies
Humans
Male
Pancreas
Pancreatic Ducts
Pancreatitis, Chronic*
Peritonitis
Punctures
Stents
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