A unique use of a double-pigtail plastic stent: correction of kinking of the common bile duct due to a metal stent.

Abstract

A 72-year-old man with jaundice by ampullary adenocarci-noma was treated at our hospital. For biliary decompression, a transpapillary, fully covered, self-expandable metal stent (FCSEMS) was deployed. Four days later, the patient devel-oped acute cholangitis. Endoscopic carbon dioxide cholan-giography revealed kinking of the common bile duct above the proximal end of the FCSEMS. A 7-F double-pigtail plastic stent was therefore placed through the FCSEMS to correct the kink, straightening the common bile duct (CBD) and im-proving cholangitis. This is the first report of a unique use of a double-pigtail plastic stent to correct CBD kinking. The place-ment of a double-pigtail plastic stent can correct CBD kink-ing, without requiring replacement or addition of a FCSEMS, and can lead to cost savings.

• Authors: Masaki Kuwatani, Hiroshi Kawakami, Yoko Abe, Shuhei Kawahata, Kazumichi Kawakubo, Kimitoshi Kubo, Naoya Sakamoto
• Journal: Gut and liver (Gut Liver) Vol. 9 Issue 2 Pg. 251-2 (Mar 2015) ISSN: 2005-1212 [Electronic] Korea (South)
• PMID: 25721004 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Common Bile Duct (injuries)
• Constriction, Pathologic (surgery)
• Decompression, Surgical (instrumentation, methods)
• Humans
• Male
• Self Expandable Metallic Stents (adverse effects)
• Stents
• Torsion Abnormality (surgery)