Mesenteric cysts are rare intra-abdominal tumors. Most are found during laparotomy for other reasons. The symptoms are often vague and minimal. CT of the abdomen gives the most information and is the diagnostic method of choice. The preferred treatment for mesenteric cysts is complete resection at laparotomy. However, the advancement of minimal-access surgery has allowed laparoscopic excision as a safe and advantageous approach with minimal morbidity and shorter hospital stay and recovery time for the patient.
Summary of Event: A transjugular intrahepatic portosystemic shunt (TIPS) stent (Viatorr) was misplaced into main portal vein and superior mesenteric vein. This misplaced covered stent was then successfully retrieved using the rigid endobronchial forceps. Teaching Point: Before release the covered portion of the TIPS stent (Viatorr), it is necessary to confirm the position of uncovered portion in portal vein and covered portion in parenchymal tract. The endobronchial forceps technique is a safe and efficient method for retrieving a misplaced TIPS stent.
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