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Case Reports
. 2023 Nov 26;15(11):e49418.
doi: 10.7759/cureus.49418. eCollection 2023 Nov.

Esophageal Stent Migration Diagnosed With Point-of-Care Ultrasound

Samuel Harris  1 , A Brad Hall  2 , Charlotte Derr  1
Affiliations
Case Reports

Esophageal Stent Migration Diagnosed With Point-of-Care Ultrasound

Samuel Harris et al. Cureus. .

Abstract

This unique case depicts the first published report of a physician using point-of-care ultrasound to diagnose an esophageal stent migration. Discussed in this article are the sonographic findings that clinicians should be familiar with when evaluating patients with abdominal pain or chest pain who have a history of an esophageal stent. When coupled with a high index of suspicion, ultrasound can be one of the most portable, readily available, low-cost, and minimally invasive techniques for making a rapid diagnosis of esophageal stent migration.

Keywords: abdominal imaging; abdominal pain; chest pain; emergency medicine physician; esophageal stent; esophageal stent migration; point-of-care ultrasound; sonography; stomach; ultrasound.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Point-of-care ultrasound of the stomach demonstrating a 2.41 cm x 2.51 cm round, echogenic, and fenestrated structure (short-axis view).
Figure 2
Figure 2. Point-of-care ultrasound of the stomach demonstrating a cylindrical form that was greater than 10 cm in length, echogenic, and fenestrated (long-axis view).
Figure 3
Figure 3. PA and lateral CXR were interpreted as negative examination by the radiologist.
Figure 4
Figure 4. CT scout image and CT angiogram of abdomen and pelvis with malpositioned esophageal stent within the stomach.
Figure 5
Figure 5. Esophagogastroduodenoscopy (EGD) with migrated esophageal stent within the gastric body.
Figure 6
Figure 6. Esophagogastroduodenoscopy (EGD) with successful esophageal stent removal.
See this image and copyright information in PMC

References

    1. Endoscopic management and prevention of migrated esophageal stents. Martins BD, Retes FA, Medrado BF, et al. World J Gastrointest Endosc. 2014;6:49–54. - PMC - PubMed
    1. Esophageal stent migration can lead to intestinal obstruction. Karatepe O, Acet E, Altiok M, Battal M, Adas G, Karahan S. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364652/ N Am J Med Sci. 2009;1:63–65. - PMC - PubMed
    1. Point-of-care ultrasound (POCUS) and its potential to advance patient care in low-resource settings and conflict zones. Dana E, Nour AD, Kpa'Hanba GA, Khan JS. Disaster Med Public Health Prep. 2023;17:0. - PubMed
    1. Distally migrated esophageal self-expanding metal stents: wait and see or remove? De Palma GD, Lovino P, Catanzano C. Gastrointest Endosc. 2001;53:96–98. - PubMed
    1. Migrated esophageal stent endoscopic extraction through gastrostomy site in a patient with severe esophageal stricture. Shin CM, Clayton SB. J Clin Gastroenterol Treat. 2019;5:64.

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