2020 Volume 35 Issue 6 Pages 601-606
A 50s man underwent pancreaticoduodenectomy for extrabiliary cancer and 19 months after surgery presented with a fever. Serum hepatic and biliary enzyme levels gradually increased. DIC-CT scan showed intrahepatic stones in the left hepatic ducts. He was successfully treated with fasting and antimicrobial agents and then underwent endoscopic retrograde cholangiopancreatography. Biliary lithotripsy was performed and the pancreatic stent dislocated into the intrahepatic bile duct.
A 50s woman underwent pancreaticoduodenectomy for intraductal papillary mucinous adenoma. Six months after surgery, she presented with abdominal pain. CT scan showed an enlarged pancreas. She was treated successfully with fasting and ulinastatin and endoscopic retrograde pancreatography was performed. The pancreatic stent became dislocated.
Based these findings, we conclude that dislocation of the pancreatic duct stent may be a long-term complication. Based on an individualized approach, a pancreatic duct stent may not be necessary when performing pancreaticoduodenectomy.
