Fig. 5. (A) Axial computed tomography (CT) with oral and intravenous contrast shows a contained perforation with free air near the edge of a duodenal stent (curved arrow). Note a metallic biliary stent (arrow). (B) Upper endoscopy reveals the perforation caused by the edge of the stent (curved arrow). (C) Upper endoscopy after stent removal shows clip placement to seal the perforation. (D) Axial CT scan shows placement of a new stent with successful exclusion of the perforation.
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