case_images: PMC7481483_01
case_images: Coronal enhanced CT scan exhibiting a linear metallic density in the CBD consistent with a surgical endoclip.
case_images: gr1.jpg
case_images: PMC7481483_01_gr1.jpg
case_images: fig0005
case_images: A computed tomographic (CT) scan of the abdomen demonstrated a moderately dilated CBD (9 mm), containing a new metallic density when compared to a previous CT scan 14 months earlier (Fig. 1), whereas the number of surgical endoclips at the hepatic hilum has decreased from three to two (Fig. 2a, b).
case_images: ERCP showing the clip/stone adjacent to the head of the endoscope in the duodenum, following successful extraction.
case_images: gr3.jpg
case_images: PMC7481483_01_gr3.jpg
case_images: fig0015
case_images: Urgent ERCP revealed a solitary mid-CBD filling defect encasing a linear metallic radiodensity consistent with a gallstone and embedded endoclip (Fig. 3).
case_images: ERCP showing the stone in the duodenum after extraction.
case_images: gr4.jpg
case_images: PMC7481483_01_gr4.jpg
case_images: fig0020
case_images: Medium-sized sphincterotomy was successfully performed, and the stone and clip were extracted using a retrieval balloon catheter (Extractor  Pro RX, Boston Scientific, Cork, Ireland) and released into the duodenum (Fig. 4).