This 48 year old gentleman had a cholangiocarcinoma just below the level of confluence. The MRCP showed abrupt cutoff of the common duct just below the hilum (A: green arrow). Contrast injection during ERCP confirmed the MRCP findings of stricture below the confluence, visible just above the endoscope (B: green arrow) and dilated intrahepatic ducts (B: red arrows). We passed a partially covered self expanding metallic stent of 10mm diameter and 80mm length (C: green arrows). The part of the stent crossing the strictured area was apparent (C: red arrow). The covered (D: green arrows) and uncovered (D: red arrows) portions of the stent were visible.
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