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Endoscopic and percutaneous extraction of two biliary stents migrated to distinct abdominal locations

A 38-year-old woman presented with a history of progressive abdominal pain, fever and chills during the previous week. The pain was persistent and located in the right upper quadrant, had fluctuations in intensity, no precipitating factors and was associated with discrete local swelling.

The patient had a medical history of cholecystectomy performed 1 year earlier, which was complicated by a benign biliary stricture. This was subsequently treated by endoscopic retrograde cholangiopancreatography (ERCP)-guided insertion of two plastic stents (7 Fr 15 cm and 7 Fr 12 cm). The patient missed the follow-up appointments.

On the present physical examination she had fever (38.2°C) and had a soft abdomen with tenderness …