Biliary drainage of the common bile duct with an enteral metal stent

Figure 1 Radiography image. At time of presentation, sludge and stones in the proximal bile ducts with five metal stents in the CBD (four proximally and one distally) and two externally draining 8 French percutaneous drains.

Figure 2 After endoscopic removal of the distal metal stent. The distal CBD was visualized with 4 metal stents proximally in an abnormal position in relation to the CBD.

Figure 3 After placement of an enteral metal stent in the dilated CBD.