Endoscopic retrieval of a sheared guidewire remnant with microbiopsy forceps from a peripheral intrahepatic bile duct

Abstract

A SHEARED GUIDEWIRE remnant is occasionally encountered in endoscopic retrograde cholangiopancreatography-related procedures. Some reports have described successful retrieval of migrated pancreatic and biliary stents, but retrieval of a thin sheared guidewire remnant is more challenging and rarely reported. [1][2][3] Here, we present a case in which a sheared guidewire remnant in a peripheral intrahepatic bile duct was successfully retrieved with microbiopsy forceps (Figs 1,2).An 87-year-old woman was admitted to our hospital with acute cholangitis resulting from an intrahepatic bile duct stone (9 mm in size). Initially, endoscopic nasobiliary drainage was performed, and the patient's general condition