Fig. 1.

(A) Cholangiograms obtained during endoscopic retrograde cholangio-pancreatography (ERCP). Asymmetric stenosis in the middle portion of the common bile duct (CBD) (“pseudocholangiocarcinoma sign”) with small stones above it and dilation of the proximal biliary ducts. (B) Following failure of progressive plastic stenting, a 80×10-mm fully-covered self-expandable metal stents (fcSEMS) was placed. (C) Stent removal 6 months thereafter revealed improvement in the stenotic segment of the CBD.