PMC7675912_01
Contrast within bile ducts.
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Contrast injection through the stricture demonstrated stricturing distal to the widely patent hepaticojejunostomy (Figure 1).
Wire within percutaneous transhepatic cholangiographic drain.
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A 0.025 inch x 450 cm biliary wire was placed successfully into the biliary tree through one of the side holes of the PTC drain (Figure 2).
Placement of metallic stent.
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A 10 mm by 10 cm uncovered metal stent was placed from the left main hepatic duct and extending across the afferent jejunal stricture into the normal jejunal limb (Figure 3).
Demonstration of occluded metallic stent (A) and placement of plastic stent (B).
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To prevent recurrent clogging, a 10 Fr by 8 cm double pigtail plastic stent was placed through the preexisting metal stent (Figure 4).