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Patient with obstructive jaundice by blood clot underwent FCSMES treatment. A. Cholangiogram showing a large number of irregular filling defects in the dilation of bile duct. B. Fully-covered SEMS (10 mm diameter, 6 cm long; COOK MEDICAL LLC, Bloomington, USA) was inserted in the common bile duct. The distant end of stent was outside the papilla. C. Blood clots remains were fully extracted with a repeated ERCP one week later.
