Endoscopic transpapillary gallbladder drainage with replacement of a covered self-expandable metal stent

Figure 1 Computed tomography of the abdomen shows swelling of the gallbladder, wall thickening, and the previously placed covered metal stent.

Figure 2 Fluoroscopic image showing the covered self-expandable metal stent grasped with a snare.

Figure 3 Cholangiogram showing the guidewire being placed in the gallbladder and intrahepatic duct.

Figure 4 The transpapillary gallbladder stent and covered metal stent. A: Endoscopic image; B: Fluoroscopic image.