case_images: PMC7675912_01
case_images: Contrast within bile ducts.
case_images: 10.1177_2324709620969505-fig1.jpg
case_images: PMC7675912_01_10.1177_2324709620969505-fig1.jpg
case_images: fig1-2324709620969505
case_images: Contrast injection through the stricture demonstrated stricturing distal to the widely patent hepaticojejunostomy (Figure 1).
case_images: Wire within percutaneous transhepatic cholangiographic drain.
case_images: 10.1177_2324709620969505-fig2.jpg
case_images: PMC7675912_01_10.1177_2324709620969505-fig2.jpg
case_images: fig2-2324709620969505
case_images: A 0.025 inch x 450 cm biliary wire was placed successfully into the biliary tree through one of the side holes of the PTC drain (Figure 2).
case_images: Placement of metallic stent.
case_images: 10.1177_2324709620969505-fig3.jpg
case_images: PMC7675912_01_10.1177_2324709620969505-fig3.jpg
case_images: fig3-2324709620969505
case_images: A 10 mm by 10 cm uncovered metal stent was placed from the left main hepatic duct and extending across the afferent jejunal stricture into the normal jejunal limb (Figure 3).
case_images: Demonstration of occluded metallic stent (A) and placement of plastic stent (B).
case_images: 10.1177_2324709620969505-fig4.jpg
case_images: PMC7675912_01_10.1177_2324709620969505-fig4.jpg
case_images: fig4-2324709620969505
case_images: To prevent recurrent clogging, a 10 Fr by 8 cm double pigtail plastic stent was placed through the preexisting metal stent (Figure 4).