Successful Removal of a Stone-covered, Proximally Migrated Pancreatic Duct Stent 14 Years After Pancreaticoduodenectomy Using Double-balloon Endoscopy

An 88-year-old man presented with epigastric pain 14 years after a pancreaticoduodenectomy. A migrated stent was found in the pancreatic duct and encased in hard pancreatic stones. Double-balloon endoscopy was used to successfully remove the stent using a biopsy forceps. The procedure was challenging because of the stone formation and narrow pancreatic duct.