Gupta Amit, Rajput Deepak, Chennat Jaine John, Singla Tanuj, Ahmed Shaik Sameer
Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Surg J (N Y). 2022 Mar 3;8(1):e86-e89. doi: 10.1055/s-0042-1743521. eCollection 2022 Jan.
Stentolith is a forgotten stent that acts as a nidus for stone formation leading to a stone-stent complex. Once the planned procedure is completed, these stents should be removed within 4 to 6 weeks, but if they are required for a longer period, then they should be replaced every 3 to 6 months. Devastating complications may ensue -such as cholangitis, biliary stricture, or secondary biliary cirrhosis. Management primarily comprises surgical intervention with common bile duct exploration or endoscopic clearance. The majority of patients eventually develop symptoms that lead to their diagnosis and subsequent management. This article, however, details the case of a silent stentolith and how it may have led to disastrous complications if surgical intervention was not done promptly.
支架结石是一种被遗忘的支架，它作为结石形成的核心，导致结石 - 支架复合体的形成。一旦计划的手术完成，这些支架应在4至6周内取出，但如果需要更长时间使用，则应每3至6个月更换一次。可能会引发严重并发症，如胆管炎、胆管狭窄或继发性胆汁性肝硬化。治疗主要包括通过胆总管探查或内镜清除进行手术干预。大多数患者最终会出现症状，从而得以诊断并进行后续治疗。然而，本文详细介绍了一例无症状支架结石的病例，以及如果不及时进行手术干预可能如何导致灾难性并发症。
