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A 63-year-old man who had previously undergone a Whipple procedure with a Roux-en-Y anastomosis developed recurrence at the resection margin with biliary dilation ( a , arrows). Percutaneous cholangiography and drainage were performed ( b ) followed by metal stent placement ( c , arrow) at the anastomosis. Follow-up cholangiography documented stent patency and a mature bilicutaneous tract (arrow, d ) and the tube was removed.
