LAUSR

GIE.org stents into the biliary duct can lead to obstruction, cholangitis, pancreatitis, and bile duct perforation. Ultimately, if stents cannot be retrieved endoscopically, surgical correction may be required. Retrospective studies suggest successful endoscopic retrieval of migrated stents to be between 75% and 80%. Typical maneuvers include balloon extraction, direct grasp forceps, and guidewire stent cannulation with snare capture. A 71-year-old man was referred to our tertiary care center for management of a proximally migrated plastic biliary stent. Three weeks earlier, he was seen at an outside hospital with abdominal pain and jaundice and was diagnosed as having acute cholecystitis. Laparoscopic cholecystectomy with intraoperative cholangiogram revealed filling defects suggestive of choledocholithiasis. A plastic biliary stent was placed to provide temporary biliary drainage owing to suspicion of retained biliary stones. ERCP repeated 5 days later to remove the stent revealed proximal migration of the biliary stent into the proximal bile ducts. Attempts to remove the stent were unsuccessful at the time. The patient was transferred to our tertiary care center. At the time of evaluation, the