Cholangitis Caused by a Migrated Pancreatic Duct Stent Into the Bile Duct After Pancreaticoduodenectomy

摘要

Pancreaticoduodenectomy is an extensive surgical resection with malignant and nonmalignant indications. Although advances in surgical techniques have improved mortality rates, postoperative morbidity remains high, with pancreatic leaks and fistulas among the most serious complication.1 Pancreaticoenteric anastomosis stents may reduce the rates of these complications, and internal and external stents are believed to be equally effective.2 Factors influencing the decision to place a stent are pancreatic texture and ductal diameter, and internal stents are sometimes preferred because they can facilitate postoperative recovery.3 We report a case of cholangitis caused by a migrated pancreatic stent after pancreaticoduodenectomy.