PMC6013683_01
(A) Abdominal x-ray revealing biliary stent in situ with no free air noted. (B) Computed tomography showing proximal migration of biliary stent into donor bile duct with no upstream ductal dilation.
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F1
When she presented a month later for the stent removal, the stent was noted to have migrated proximally into the donor bile duct on x-ray and computed tomography imaging (Figure 1). A single-operator digital cholangioscope (SpyGlass, Boston Scientific, Marlborough, Massachusetts) was used to identify the stent in the donor bile duct (Figure 2), which was then successfully extracted with the help of mini biopsy forceps (SpyBite, Boston Scientific, Marlborough, Massachusetts; Figure 3 and Video 1).
Cholangiogram revealed tortuosity of the bile duct.
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F2
A single-operator digital cholangioscope (SpyGlass, Boston Scientific, Marlborough, Massachusetts) was used to identify the stent in the donor bile duct (Figure 2), which was then successfully extracted with the help of mini biopsy forceps (SpyBite, Boston Scientific, Marlborough, Massachusetts; Figure 3 and Video 1).
Intact extracted biliary stent.
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F3
A single-operator digital cholangioscope (SpyGlass, Boston Scientific, Marlborough, Massachusetts) was used to identify the stent in the donor bile duct (Figure 2), which was then successfully extracted with the help of mini biopsy forceps (SpyBite, Boston Scientific, Marlborough, Massachusetts; Figure 3 and Video 1).