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Case Reports
Development of Severe Acute Pancreatitis Following Uncovered Metallic Stent Placement: A Rare Case Report.
- Makoto Takaoka, Masaaki Shimatani, Takuya Takayama, Hideaki Miyoshi, Toshiyuki Mitsuyama, Masataka Masuda, Takashi Ito, Koh Nakamaru, Sachi Miyamoto, Mitsuo Tokuhara, Tsukasa Ikeura, Kazuichi Okazaki, and Makoto Naganuma.
- The Third Department of Internal Medicine, Kansai Medical University, Japan.
- Intern. Med. 2021 Jun 1; 60 (11): 1703-1707.
AbstractSelf-expandable metallic stents (SEMSs) are widely used for malignant biliary stricture (MBS). Acute pancreatitis is an early complication following SEMS placement. In the present case, the patient developed severe acute pancreatitis after SEMS placement for MBS because of metastatic lymph nodes. Endoscopic retrograde cholangiopancreatography, endoscopic sphincterotomy and an endoscopic nasobiliary drainage tube placement were performed. After seven days, an uncovered SEMS was placed; however, severe acute pancreatitis occurred, and the SEMS was drawn out emergently. In SEMS placement for patients with MBS caused by non-pancreatic cancer, SEMS should be selected carefully while considering each patient's case.
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