Figure 2. a, b.

An 88-year-old male with cholangiocarcinoma received palliative PTBD via right lobe. Follow-up cholangiogram on Day 13 (a) showed fracture of the rigid ring biliary catheter. The two fragments are not aligned. A 0.035-inch stiff guidewire was threaded through end-hole of the catheter fragment (b), then an inflatable balloon catheter was introduced in a partial-in-partial-out manner and inflated (the partially inflated balloon catheter indicated by black arrow). The catheter fragment was removed and finally a new drainage catheter was placed.