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Esophageal Metallic-Stent Migration: a Rare Cause of Anal Pain in a Patient with Gastric Cancer
Carlos Manuel Ortiz-Mendoza1, Adriana A Nieves-Valerdi2
11Department of Surgery, Hospital General Tacuba, ISSSTE, Lago Ontario #119, Col. Tacuba, Del. Miguel Hidalgo, 11410 Mexico City, Mexico.
Abstract:
Stents are a great development for esophageal fistula treatment; however, stent migration is a frequent complication. A stent migration that caused anal pain is presented. A 79-year-old man with poorly differentiated gastric carcinoma was submitted to a total gastrectomy with a Roux-en-Y esophagojejunostomy. The patient developed an anastomosis leakage 3 months after surgery; a fixed metallic stent was used as treatment with good evolution. Five months after the stent (and 8 months after gastrectomy), the patient returned to the emergency department with acute incapacitating anal pain; the pain was caused by the migrated stent. Esophageal stent migration is frequent; however, rarely, metallic stent migration may cause anal pain.
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