Abstract Archives of the RSNA, 2014
GIE135
Migration of Pancreaticojejunostomy Silastic Stents into the Bile Ducts after Pancreatoduodenectomy
Education Exhibits
Presented in 2014
Certificate of Merit
So Hyun Park MD, Presenter: Nothing to Disclose
Jin Hee Kim MD, Abstract Co-Author: Nothing to Disclose
Seung Soo Lee MD, Abstract Co-Author: Nothing to Disclose
Jae Ho Byun MD, Abstract Co-Author: Nothing to Disclose
Hyoung Jung Kim MD, Abstract Co-Author: Nothing to Disclose
Moon-Gyu Lee MD, Abstract Co-Author: Nothing to Disclose
1. To present various complications associated with migrated silastic stents from pancreaticojejunostomy into the bile ducts after pancreatoduodenectomy
2. To discuss pitfalls in CT and MR imaging interpretations in patients with migrated silastic stents in the bile ducts
3. To emphasize the importance of making an effort to find silastic stents which can be easily overlooked on imaging examinations in patients who underwent pancreatoduodenectomy
1. Demonstration of silastic stents on imaging examinations
2. Stent migration-associated complications
(1) Bile duct stricture
(2) Cholangitis
(3) Abscess formation
(4) Stent serving as a nidus for stone formation
(5) Stent fracture
3. Long-term follow-up of the migrated stents at imaging studies
4. Pitfalls in CT and MR imaging interpretations in patients with migrated stents
(1) Misinterpretation of stent-related complications: how and why?
(2) Importance of precontrast CT scan
Summary:
Migrated pancreaticojejunostomy silastic stents can cause a variety of biliary complications which may be confused with other conditions, in particular, malignancies. Therefore, it would be important that radiologists be aware of these stent-related biliary complications to eliminate misdiagnosis and consequently to minimize unnecessary costly examinations or surgeries.
http://abstract.rsna.org/uploads/2014/14016860/14016860_9bdu.pdf
Park, S,
Kim, J,
Lee, S,
Byun, J,
Kim, H,
Lee, M,
Migration of Pancreaticojejunostomy Silastic Stents into the Bile Ducts after Pancreatoduodenectomy. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14016860.html