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Retrieval of a misdeployed lumen‐apposing metal stent in walled‐off necrosis by a parallel withdrawal technique using a double‐channel endoscope

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Figure 1 A case of walled-off necrosis (WON) with a misdeployed lumen-apposing metal stent (LAMS). (a) Contrast-enhanced computed tomography (CT) showing an encapsulated fluid collection with heterogenous density of necrotic… Click to show full abstract

Figure 1 A case of walled-off necrosis (WON) with a misdeployed lumen-apposing metal stent (LAMS). (a) Contrast-enhanced computed tomography (CT) showing an encapsulated fluid collection with heterogenous density of necrotic tissue extending from the pancreatic tail to the left paracolic gutter, indicating WON. (b) LAMS migrated into the WON cavity during endoscopic ultrasound-guided transluminal drainage. (c) Placement of a plastic stent and nasocystic drainage tube through the puncture tract of the misdeployed LAMS. (d) CT showing the misdeployed LAMS in the WON cavity.

Keywords: lumen apposing; apposing metal; metal stent; stent; misdeployed lumen; walled necrosis

Journal Title: Digestive Endoscopy
Year Published: 2023

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