case_images: PMC6088461_01
case_images: Computed tomography scan of abdomen with contrast showing distal portion of stent traversing luminal wall into peritoneal cavity (arrow).
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case_images: PMC6088461_01_10.1177_2324709618792031-fig1.jpg
case_images: fig1-2324709618792031
case_images: An upper endoscopy was performed, confirming penetration of the stent through the lateral portion of the second part of the duodenum (Figure 1).
case_images: Endoscopic image showing perforation of duodenum with distal tip of biliary stent.
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case_images: PMC6088461_01_10.1177_2324709618792031-fig2.jpg
case_images: fig2-2324709618792031
case_images: The stent was then extracted using a Raptor  grasping device (US Endoscopy, Mentor, OH) revealing a 0.5 x 0.5 cm transmural defect (Figure 2).
case_images: Endoscopic image showing closure of defect with 4 through-the-scope clips.
case_images: 10.1177_2324709618792031-fig3.jpg
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case_images: This was closed using four 11-mm TTS endoclips (DuraClip, ConMed Corporation, Utica, NY; Figure 3).