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A, Abdominal CT shows a fully covered self-expandable metallic stent (SEMS, arrowhead) in the bile duct and a plastic stent (arrow) in the gallbladder. No biliary bleeding or pseudoaneurysm was observed. B, The endoscopic view shows SEMS occlusion by biliary sludge. We inserted an 8.5F plastic stent into the SEMS to resolve cholangitis.
