Double-pigtail stent migration invading the spleen: rare potentially fatal complication of endoscopic internal drainage for sleeve gastrectomy leak

Abstract

Endoscopic internal drainage (EID) by means of a double-pigtail stent is increasingly used as an effective approach to management of leak and fistula following gastrointestinal (GI) surgery, particularly surgery for obesity [1] [2] [3]. Complications related to this technique include GI ulceration at the tip of the double-pigtail stent, migration into the abdominal cavity, and bleeding.