Acute Pancreatitis Caused by Impaction of Migrated Surgical Staples in the Duodenal Papilla After Distal Pancreatectomy
- 1Oita Red Cross Hospital
- 2Oita University
Abstract
A 67‐year‐old woman underwent a laparoscopic distal pancreatectomy for pancreatic body cancer. On postoperative day (POD) 23, the patient presented with epigastric pain and was diagnosed with delayed peripancreatic fluid collection, which was treated with antibiotics and percutaneous drainage. On POD 51, the patient developed recurrent epigastric pain. Laboratory tests revealed elevated pancreatic enzyme and inflammatory marker levels. Computed tomography revealed acute pancreatitis and a high‐density area in the duodenal papilla suggestive of a foreign body. Endoscopic retrograde cholangiopancreatography revealed that the surgical staples were impacted in the minor duodenal papilla and were successfully removed. Although pancreatography did not demonstrate residual staples, three additional staples were subsequently removed from the pancreatic duct. Pancreatitis improved after endoscopic treatment, and the patient was discharged. This case suggests that the migration of staples used during surgery may be a contributing factor to postoperative pancreatitis.
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BibTeX
@article{inaba2026acute,
title = {{Acute Pancreatitis Caused by Impaction of Migrated Surgical Staples in the Duodenal Papilla After Distal Pancreatectomy}},
author = {Kazumi Inaba and Mitsuteru Motomura and Yoshifumi Azuma and Takahiro Kimoto and Haruhiko Takahashi and Tetsuya Ueo and Ryoichi Narita and Kazuhiro Tada and Kengo Fukuzawa and Kazuhiro Mizukami},
journal = {DEN open},
year = {2026},
month = nov,
doi = {10.1002/deo2.70465},
url = {https://europepmc.org/article/PMC/PMC13728827},
note = {CC BY},
}
RIS
TY - JOUR
TI - Acute Pancreatitis Caused by Impaction of Migrated Surgical Staples in the Duodenal Papilla After Distal Pancreatectomy
AU - Kazumi Inaba
AU - Mitsuteru Motomura
AU - Yoshifumi Azuma
AU - Takahiro Kimoto
AU - Haruhiko Takahashi
AU - Tetsuya Ueo
AU - Ryoichi Narita
AU - Kazuhiro Tada
AU - Kengo Fukuzawa
AU - Kazuhiro Mizukami
PY - 2026
DA - 2026/11/03
JO - DEN open
DO - 10.1002/deo2.70465
UR - https://europepmc.org/article/PMC/PMC13728827
AB - A 67‐year‐old woman underwent a laparoscopic distal pancreatectomy for pancreatic body cancer. On postoperative day (POD) 23, the patient presented with epigastric pain and was diagnosed with delayed peripancreatic fluid collection, which was treated with antibiotics and percutaneous drainage. On POD 51, the patient developed recurrent epigastric pain. Laboratory tests revealed elevated pancreatic enzyme and inflammatory marker levels. Computed tomography revealed acute pancreatitis and a high‐density area in the duodenal papilla suggestive of a foreign body. Endoscopic retrograde cholangiopancreatography revealed that the surgical staples were impacted in the minor duodenal papilla and were successfully removed. Although pancreatography did not demonstrate residual staples, three additional staples were subsequently removed from the pancreatic duct. Pancreatitis improved after endoscopic treatment, and the patient was discharged. This case suggests that the migration of staples used during surgery may be a contributing factor to postoperative pancreatitis.
SN - 2692-4609
ER -