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At 3 weeks later, endoscopic retrograde cholangiopancreatography (ERCP) showed a slight stenosis at the site of the lesion in the right hepatic duct. After sphincterotomy and removal of the T tube, an endoprosthesis was placed. At control ERCP 3 months later, the endoprosthesis was found to be proximally displaced. Magnetic resonance cholangiopancreatography (MRCP) showed that the stent had migrated in such a way that its distal end had perforated the wall of the common bile duct and passed through into the pancreatic tissue and the proximal end was in the liver parenchyma (Figure 1).

Proximal Displacement of Biliary Stent with Distal Perforation and Impaction in the Pancreas