Late stage gallbladder tumor (Stage III). A sharp cutoff of contrast seen (A). Guidewire was maneuvered across the strictured area followed by contrast injection which outlined dilated intrahepatic biliary channels (B: red arrow shows the stricture). A 10F x 10cm plastic stent was placed (C) after dilatation of stricture with graduated dilatation catheters.
Not a common sight. We had gone for stent removal and attempt stone extraction (the patient had previously had cholangitis and stone extraction was incomplete. A plastic stent had been placed). The stent had penetrated the opposite duodenal wall, a closed perforation. We had to wrestle a bit with the forceps, pushing the stent back into the CBD. It was then removed with a snare.
This 60 year old gentleman had earlier undergone ERCP and stenting for an anastomotic biliary leakage a few months earlier http://ercp365.bl...
