• J Coll Physicians Surg Pak · Dec 2019

    Case Reports

    Self-expanding Metallic Stent Placement in Malignant Terminal Ileal Stricture.

    • Kailash Raj Makhejani, Muhammad Mansoor Ul Haq, Jawaid Iqbal, and Naila Zahid.
    • Department of Gastroenterology, Toronto General Hospital/UHN, Toronto, ON, Canada.
    • J Coll Physicians Surg Pak. 2019 Dec 1; 29 (12): S89-S91.

    AbstractMalignancies of gastro-intestinal tract cause stricture formation that leads to intestinal obstruction. In such cases, either surgery or placement of self-expanding metallic stents (SEMS) are options of palliation. For left sided colorectal obstruction, SEMS have been widely used and reported. Luminal stenting is not always an easy task to perform because of altered anatomy of the surrounding structures, specially in the right side of colon and terminal ileum. SEMS placement, particularly in the ileocecal region, is technically difficult. Few studies on SEMS deployment in right sided colon have been reported till now. We report a case of metastatic signet ring cell carcinoma of rectosigmoid junction with malignant terminal ileal stricture palliation done with placement of SEMS.

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