INTRODUCTION: Walled-off pancreatic necrosis, pseudocyst, and intra-abdominal abscess are common complications after pancreatectomy. Based on the location, the endoscopic drainage can be performed with placement of double pigtail stents. However, the stent itself can cause distal migration months to years later, and it can lead to viscera perforation if not removed in a timely fashion. CASE DESCRIPTION/METHODS: We present a case of a 63-year-old woman with history of pancreatic adenocarcinoma status post distal pancreatectomy, splenectomy and partial gastrectomy. Post-surgery, she developed peri-pancreatic fluids collection posterior to the stomach. She underwent cyst duodenostomy, cyst gastrostomy, serial necrosectomies, and sequential placement of AXIOS LAMS (lumen apposing metal stents) and double pigtail plastic stent. LAMS were removed serially after the drainage but double pigtail stent was left behind. A year and half later, she presented to our hospital with left upper abdominal pain for four days. The pain was sharp, stabbing, radiated to left flank, and worsened with deep inspiration and body movements. The review of systems was not significant. She was afebrile and vitals were stable. Physical exam was only significant for moderate tenderness in left upper quadrant and left flank region. Labs showed leukocytosis, thrombocytosis, but normal kidney and liver functions. CT abdomen and pelvis with contrast showed distally migrated double pigtail stent in the mid-jejunum. Enteroscopy using the colonoscope was introduced into the mid-jejunum. A foreign body consistent with the double pigtail stent was found. It was removed with rat-toothed forceps. No perforation was evident post procedure. The abdominal pain resolved completely several hours after the procedure. DISCUSSION: Distal stent migration is a possible remote complication if the double pigtail stent remained after complete drainage of intra-abdominal abscesses or pseudocysts. Endoscopic removal is a safe and effective procedure provided that there is no bowel perforation.