RSNA 2014 

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

Participants

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

TEACHING POINTS

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  

TABLE OF CONTENTS/OUTLINE

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.

PDF UPLOAD

http://abstract.rsna.org/uploads/2014/14016860/14016860_9bdu.pdf

Cite This Abstract

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