PMC3407443_01
CT image of the pancreas. The images progress from superior to inferior. The stent has migrated proximally into the pancreatic duct. A nasoenteric tube is seen in the duodenum.
jls0011228410001.jpg
PMC3407443_01_jls0011228410001.jpg
F1
The stent was immediately noted to migrate proximally into the pancreatic duct (Figure 1).
Laparoscopic ultrasound of the distal pancreas. The hyperechoic stent (black arrowhead, with posterior shadowing) is seen in close proximity to the splenic artery (black arrow) and vein (white arrow, compressed by ultrasound probe). There are no clear tissue planes seen between these structures.
jls0011228410002.jpg
PMC3407443_01_jls0011228410002.jpg
F2
The use of a laparoscopic ultrasound allowed precise localization of the stent (Figure 2) and planning for the level of transection.
Laparoscopic image of the distal pancreas. The proximal portion of the incised pancreas is grasped by the hand assist on the left side of the picture. The distal pancreas is on the right. The divided stent protrudes from both cut ends of the pancreatic duct.
jls0011228410003.jpg
PMC3407443_01_jls0011228410003.jpg
F3
The stent was easily removed (Figure 3).