Retained stone retrieval basket causing chronic pancreatitis : a case report

© 2023 Lee, Tan, Koh, Iyer and Gao..

Background: Endoscopic retrograde cholangiopancreatography is a common procedure performed for choledocholithiasis and gallstone pancreatitis. Although a relatively low risk procedure, it is not without its complications. Cases of impacted Dormia baskets during stone retrieval have been reported, but these are usually retrieved surgically during the same setting.

Case summary: A 40-year-old man presented to our hospital with an episode of epigastric pain and discomfort. He has a prior background of recurrent episodes of pancreatitis of which he underwent prior endoscopic therapy in his home country. Initial investigations revealed a metallic object seen on abdominal x-ray, computer tomographic scan of the abdomen and pelvis, and magnetic resonance imaging of the pancreas. Further evaluation was done with endoscopy, which revealed a retained stone extraction basket from a previous endoscopic retrograde pancreatography, resulting in recurrent episodes of acute chronic pancreatitis. Although the retained foreign body was removed, he subsequently developed further complications of portal vein thrombosis as a result of recurrent acute chronic pancreatitis, which required anticoagulation.

Conclusion: This case highlights the importance of retrieving any foreign body from the pancreas, especially on the head, to prevent the development of further complications.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Frontiers in surgery - 10(2023) vom: 07., Seite 1235833

Sprache:

Englisch

Beteiligte Personen:

Lee, James Wai Kit [VerfasserIn]
Tan, Ming Yuan [VerfasserIn]
Koh, Calvin [VerfasserIn]
Iyer, Shridhar Ganpathi [VerfasserIn]
Gao, Yujia [VerfasserIn]

Links:

Volltext

Themen:

Biliary disease
ERCP (cholangiopancreatography)
Hepatobiliary surgery
Journal Article
Pancreatitis
Retained foreign body
Unusual presentation

Anmerkungen:

Date Revised 26.08.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fsurg.2023.1235833

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361202016