A SUCCESSFUL REPLACEMENT OF MIGRATED DRAINAGE TUBE IN THE PANCREATIC CYST DURING ENDOSCOPIC CYSTOGASTROSTOMY

Abstract

A 41-year-old man with a pancreatic pseudocyst measuring approximately 10 cm in diameter located in the pancreatic tail was referred to our hospital for further evaluation and treatment. Conservative treatment failed and then endoscopic cystogastrostomy was performed. At the end of the procedure, the drainage tube was migrated into the pancreatic pseudocyst. The cyst was re-punctured and the migrated pig tailed tube end was caught by wire snare through dilator cannula. Successful replacement of the tube at proper position was made. This technique was effective for replacement and retrieval of such migrated tube.