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. 2023 Mar-Apr;12(2):303-304.
doi: 10.4103/EUS-D-22-00161.

Troubleshooting the migration of a double-pigtail plastic stent into a pelvic abscess (with videos)

Koichi Soga  1 , Hiroaki Kitae  1
Affiliations

Troubleshooting the migration of a double-pigtail plastic stent into a pelvic abscess (with videos)

Koichi Soga et al. Endosc Ultrasound. 2023 Mar-Apr.
No abstract available

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Abdominal computed tomography revealed a pelvic abscess (a) with an air bubble of 125.3 mm that originated from an appendiceal perforation (b) and traversing the retroperitoneum (c; arrowhead). Endoscopic-ultrasound pelvic abscess drainage using a convex endoscopic-ultrasound scope. The abscess (outlined with asterisks) was punctured using a 19-gauge needle through the rectum (d). The first DPPS strayed into the pelvic cavity during the placement of the second DPPS (e; arrowhead). DPPS: Double-pigtail plastic stent
Figure 2
Figure 2
Replacement of the migrated DPPSs following incomplete placement of two DPPSs. An esophagogastroduodenoscopy scope was inserted to place a guidewire into the PA cavity, and the puncture tract dilated using an 8-mm balloon dilator (a). Subsequent insertion of a 5.8-mm endoscope into the abscess cavity (b). A large amount of purulent fluid in the PA cavity, and the surface of the cavity with effusion, erythema, and purulent fluid (c). After aspiration of sufficient purulent fluid, the migrated DPPS was identified (d; arrow). DPPS: Double-pigtail plastic stent, PA: Pelvic abscesses
See this image and copyright information in PMC

References

    1. Dhindsa BS, Naga Y, Saghir SM, et al. EUS-guided pelvic drainage:A systematic review and meta-analysis. Endosc Ultrasound. 2021;10:185–90. - PMC - PubMed
    1. Nishikawa T, Okabe S, Tsuyuguchi T, et al. Endoscopic recovery of multiple migrated plastic stents during EUS-guided transmural drainage of pancreatic fluid collections. VideoGIE. 2017;2:46–7. - PMC - PubMed