Abstract
A 73-year-old woman with unresectable cholangiocarcinoma underwent ERCP and self-expandable metal stent (SEMS) placement for biliary drainage. The stent expansion proved insufficient, and she experienced ascending cholangitis a week later. A plastic stent was then inserted through the original SEMS, but she was admitted again because of progressive jaundice with low-grade fever. Preparations were made for the plastic stent exchange with a second SEMS placed with the patient under general anesthesia.
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