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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Cholecystitis

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Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Varicose Veins I: Introduction01:26

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Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Updated: May 16, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

Biliary stent migration presenting with leg pain.

Ryan O'Connor1, Satyanisth Agrawal, Elie Aoun

  • 1West Penn Allegheny Health System, Pittsburgh, Pennsylvania, USA.

BMJ Case Reports
|November 20, 2012
PubMed
Summary

A rare complication of biliary stent placement occurred in an 87-year-old woman, where the stent migrated and perforated the duodenum, causing severe pain. The biliary stent was successfully removed, illustrating a rare risk of endoscopic retrograde cholangiopancreatography (ERCP).

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Last Updated: May 16, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is a common procedure for diagnosing and treating biliary and pancreatic duct diseases.
  • While generally safe, ERCP carries potential risks, including rare complications such as stent migration.

Observation:

  • An 87-year-old female presented with symptomatic choledocholithiasis after two failed endoscopic stone removal attempts.
  • Following ERCP and placement of a plastic biliary stent, the patient developed severe back and leg pain, with inability to ambulate.

Findings:

  • Abdominal CT revealed the biliary stent had migrated through the duodenal wall, with its tip embedded in the right psoas muscle.
  • The migrated stent was successfully retrieved using rat-toothed forceps.

Implications:

  • This case highlights an extremely rare complication of biliary stent placement during ERCP.
  • It underscores the importance of vigilance for unusual presentations and potential complications following biliary interventions.