ISSN 1941-5923

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American Journal of Case Reports have been selected for the ESCI - Emerging Sources Citation Index (Thomson Reuters, Web of Science, ISI), launching in November of 2015 as a new edition of the Web of Science.

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Published: 2016-02-05

Plastic Biliary Stent Migration During Multiple Stents Placement and Successful Endoscopic Removal Using Intra-Stent Balloon Inflation Technique: A Case Report and Literature Review

Calcedonio Calcara, Laura Broglia, Giovanni Comi, Marco Balzarini

(Unit of Gastroenterology, SS Trinità Hospital, Borgomanero, Italy)

Am J Case Rep 2016; 17:65-69

DOI: 10.12659/AJCR.896076


BACKGROUND: Late migration of a plastic biliary stent after endoscopic placement is a well known complication, but there is little information regarding migration of a plastic stent during multiple stents placement.
CASE REPORT: A white man was hospitalized for severe jaundice due to neoplastic hilar stenosis. Surgical eligibility appeared unclear on admission and endoscopy was carried out, but the first stent migrated proximally at the time of second stent insertion. After failed attempts with various devices, the migrated stent was removed successfully through cannulation with a dilation balloon.
CONCLUSIONS: The migration of a plastic biliary stent during multiple stents placement is a possible complication. In this context, extraction can be very complicated. In our patient, cannulation of a stent with a dilation balloon was the only effective method.

Keywords: Biliary Tract Neoplasms, Cholestasis, Device Removal, Stents




Published: 2016-02-03

Association of Remitting Seronegative Symmetrical Synovitis with Pitting Edema, Polymyalgia Rheumatica, a...


Amir Emamifar, Soeren Hess, Rannveig Gildberg-Mortensen, Inger Marie Jensen Hansen

Am J Case Rep 2016; 17:60-64

DOI: 10.12659/AJCR.895717

Published: 2016-02-01

Sclerosing Mesenteritis and Disturbance of Glucose Metabolism: A New Relationship? A Case Series


João Pedro Tavares Pereira, Vera Romão, Margarida Eulálio, Rita Jorge, Filipe Breda, Suzana Calretas, Sara Leitão, Gisela Eugénio, Rui Santos, Armando Carvalho

Am J Case Rep 2016; 17:55-59

DOI: 10.12659/AJCR.896145