Troubleshooting: intraperitoneal migration of a dedicated plastic stent during endoscopic ultrasound-guided hepaticogastrostomy

Fig. 2 The clinical course after the migration of the dedicated plastic stent.a Endoscopic ultrasound-guided hepaticogastrostomy was per- formed at B3, and a fully covered metal stent was placed.b A fluoroscopic image showing the insertion of the drill dilator into the stent lumen.c After pulling the stent proximally toward the endoscope using the drill dilator, it was grasped with a snare.d A post-endoscopic procedural CT image.No obvious bile and contrast leakage were observed.CT, computed tomography.