869214.fig.002a
(a)
869214.fig.002b
(b)
869214.fig.002c
(c)
869214.fig.002d
(d)
Figure 2: Transluminal stenting in a patient with common hepatic duct transection post-cholecystectomy. (a) Complete iatrogenic CHD obstruction at the site of cholecystectomy clips. (b) Initial cholangiogram with a 19-gauge needle via transgastric approach with passage of guidewire. (c) Placement of two 10 × 80 mm partially covered SEMS. (d) Placement of a 7 Fr × 12 cm double-pigtail plastic stent inside metal stents to prevent outmigration.