Endoscopic retrieval of a proximally migrated biliary stent with single-operator cholangioscopy and minisnare.

Abstract

An 85-year-old man with no significant medical history presented to an outside hospital (OSH) with nausea, vomiting, and abdominal pain. His laboratory evaluation was concerning for biliary obstruction, and a CT of his abdomen and pelvis demonstrated a 10-mm stone in the distal common bile duct with upstream biliary dilation to 20 mm. An ERCP was performed at the OSH with biliary sphincterotomy, balloon sweep with removal of the stone, and placement of an 8.5F × 7-cm plastic stent in the common bile duct.