Clin Endosc.  2024 Jan;57(1):134-136. 10.5946/ce.2023.132.

Nightmare of straight-type plastic stent migration into the peripheral bile duct: what is my savior?

• Lee YC
• Irani S
• Chon HK

• KMID: 2551204
• DOI: http://doi.org/10.5946/ce.2023.132

Figure

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  Fig. 1. Abdominal computed tomography findings. (A, B) A proximally migrated straight-type biliary plastic stent (black open arrows) is observed in the coronal view and axial view. (C) Proximally migrated plastic straight-type biliary stent (black open arrow) and pancreatic mass (white arrow) are observed in the axial view.

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  Fig. 2. Process of proximally migrated straight-type plastic biliary stent removal using digital single-operator cholangioscopy (D-SOC). (A) In D-SOC, the scope (white open arrow) is inserted through the guidewire to assist with the direction of the migrated stent (black open arrow), as noted in the fluoroscopic image. (B) A flap is observed at the distal end of a plastic biliary stent under D-SOC. (C, D) The flap on the distal part of the plastic stent is captured using a SpyGlass retrieval basket (white arrow). (E, F) The migrated plastic biliary stent is removed by slowly withdrawing the D-SOC and duodenoscope simultaneously.

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