INTRODUCTION: Endoscopic drainage of pancreatic fluid collections (PFC) is widely accepted modality of therapy due to its less invasive nature, shorter recovery time, lower cost and complication rates. Lumen apposing covered self-expandable metallic stents (LACSEMS) are increasingly utilized in the management of PFC. LACSEM have excellent safety profile and adverse effects are generally low. Rare migration of these LACSEMS has been described, noted at follow up, both in to the enteral lumen as well in to the cyst cavity. We here by present a case of AXIOS stent migration in to PFC that was successfully retrieved. CASE DESCRIPTION/METHODS: A 33 year-old Caucasian male with H/O ETOH related pancreatitis presented with 3 months of intermittent nausea and vomiting with nearly 100-pound weight loss. CT abdomen showed a 24 × 21 × 14 cms PFC causing GOO (Figure 1). Under EUS guidance, a 15 × 10 mm hot AXIOS stent (Xlumena Inc., Mountain view, CA, USA) was deployed by transgastric approach in to the cyst but the stent migrated in to the cavity. A second 15 × 10 mm hot AXIOS stent was successfully placed in to the cyst (Figure 2). The lumen of the AXIOS stent in good position was dilated to 15 mm using a wire guided CRE balloon. Large amount of necrotic material was visualized in the cyst cavity. Through the stent necrosectomy was performed. The migrated stent within the cyst was localized by fluoroscopy. Under endoscopic and fluoroscopic guidance, attempt at grabbing the migrated stent with forceps and removal through the stent in good position was unsuccessful. Few days later, migrated stent removal was attempted again. A therapeutic scope was advanced through the AXIOS in good position in to the WON cavity. The migrated stent was grabbed with a Rat-Tooth forceps and was pulled in to the working channel and successfully removed through the scope (Figure 3). DISCUSSION: In our case, the AXIOS stent migrated in to the WON cavity at the time of initial deployment necessitating a second AXIOS stent placement. Immediate removal of the migrated stent was not pursued due to risk of dislodging the second stent in good position. Subsequently, after endoscopic necrosectomies and improved WON size, the migrated stent was removed by intubating the WON with a therapeutic gastroscope through the AXIOS stent in good position and pulling the migrated stent in to the working channel of the gastroscope. To the best of our knowledge, retrieval of a migrated LACSEMS inside a WON through the scope via an AXIOS stent has not been previously described.