Clin Endosc.  2022 May;55(3):467-469. 10.5946/ce.2022.106.

An unwonted complication of endoscopic retrograde cholangiopancreatography

Affiliations
  • 1Department of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea


Figure

  • Fig. 1. (A) Abdominal X-ray showed a biliary stent in the right upper quadrant. (B) Abdominal computed tomography revealed the biliary stent to be slightly above the ampulla (arrowhead). (C) Examination with the side-viewing duodenoscope showed evidence of prior sphincterotomy but no biliary stent at the bile duct orifice. (D) On fluoroscopy, the distal end of the biliary stent was located above the ampulla.

  • Fig. 2. (A) A 0.035-inch guidewire was cannulated into the stent lumen. (B) A 7-Fr Soehendra stent retriever, which was placed over the guidewire, was screwed into the distal end of the stent. (C, D) Under endoscopic and fluoroscopic guidance, both the stent and the stent retriever were slowly pulled back into the duodenal lumen.


Reference

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