Self-Inflicted Wound: Spontaneous Pancreatic Duct Stent Migration Into Hepatic Parenchyma.

Authors

Asanka B Ekanayake, Charleston R Powell, Patrick E Young

Published in

ACG case reports journal. Volume 13. Issue 7. Pages e02208. Epub Jul 03, 2026.

Abstract

Internal pancreaticojejunostomy (PJ) stents are used to reduce complications after pancreaticoduodenectomy but may rarely migrate. We report a case of PJ stent migration directly into the hepatic parenchyma. A 67-year-old woman with metastatic pancreatic adenocarcinoma developed recurrent cholangitis after pancreaticoduodenectomy. Initial obstruction was relieved with endoscopic gastrojejunostomy using a lumen-apposing metal stent. Six months later, imaging revealed PJ stent migration into the left hepatic lobe. Endoscopic removal was successful, but further biliary intervention was deferred due to thrombocytopenia and poor prognosis. This case highlights a novel cause of recurrent cholangitis and emphasizes individualized management in advanced malignancy.

PMID:
42405296
Bibliographic data and abstract were imported from PubMed on 06 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.