Natural orifice surgery for rescue of stent misplacement in endoscopic gallbladder drainage.

ABSTRACT:

Background and aims

Lumen-apposing metal stent (LAMS) misdeployment in endoscopic ultrasound-guided gallbladder drainage is one of the primary adverse events, but few studies, to our knowledge, have reported the misplacement of the LAMS into the abdominal cavity and the following endoscopic rescue treatment.

Methods

We reported a case of the proximal flange misplaced into the abdominal cavity in a fully expanded condition, whereas the distal flange was attached to the gallbladder, resulting in a perforation between the gallbladder and abdominal cavity, and only the puncture site was identified on the duodenal wall. After multidisciplinary discussion, we performed natural orifice transluminal endoscopic surgery (NOTES) as a rescue therapy immediately.

Results

Using NOT

SUBMITTER: Wang H 

PROVIDER: S-EPMC12744727 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature