Embolization coil migration in the stomach and spontaneous excretion: a case report and review of the literature

Yasuo Matsubara, MD, PhD; Lay Ahyoung Lim, MD, PhD; Yasuki Hijikata, MD, PhD; Yoshihiro Hirata, MD, PhD; Hiroshi Yotsuyanagi, MD, PhD

Radiology Case Reports (Jul 2020)

Embolization coil migration in the stomach and spontaneous excretion: a case report and review of the literature

Yasuo Matsubara, MD, PhD,
Lay Ahyoung Lim, MD, PhD,
Yasuki Hijikata, MD, PhD,
Yoshihiro Hirata, MD, PhD,
Hiroshi Yotsuyanagi, MD, PhD

Affiliations

Yasuo Matsubara, MD, PhD: Corresponding author.; Department of General Medicine, IMSUT Hospital, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo108-8639, Japan
Lay Ahyoung Lim, MD, PhD: Department of General Medicine, IMSUT Hospital, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo108-8639, Japan
Yasuki Hijikata, MD, PhD: Department of General Medicine, IMSUT Hospital, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo108-8639, Japan
Yoshihiro Hirata, MD, PhD: Department of General Medicine, IMSUT Hospital, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo108-8639, Japan
Hiroshi Yotsuyanagi, MD, PhD: Department of General Medicine, IMSUT Hospital, Institute of Medical Science, The University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo108-8639, Japan

Journal volume & issue: Vol. 15, no. 7
pp. 1018 – 1022

Abstract

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Embolization coil migration to the gastrointestinal tract is a rare complication. This report describes our experience of coil migration in the stomach and spontaneous excretion. A 77-year-old man, who was diagnosed with esophageal squamous cell carcinoma with multiple lymph node metastases, had a bleeding left gastric artery and splenic artery pseudoaneurysm associated with an abdominal lymph node mass, that was treated by coil embolization, after which the coil migrated into the stomach. Because there were no complications such as active bleeding or peritonitis, our patient was followed carefully, and excretion of the coil was documented. No standard management exists for migrated coils. Conservative treatment is an option, as in this case.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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