1. Migrated surgical clips within bile duct stone suspected on EUS and verified on ERCP 
Mehul Choksi, MD, DM, Mahesh Desai, MS, FIAGES 
VideoGIE 
Volume 2, Issue 3, Pages (March 2017)
DOI: /j.vgie
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2. Figure 1
Linear EUS image from second part of the duodenum showing 2 calculi in the distal common bile duct. The proximal calculus shows 2 parallel hyperechoic foci (arrow) within the calculus suggestive of surgical clips.
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3. Figure 2
Another image of the calculus in the common bile duct showing surgical clips (arrow) within the body of the calculus.
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4. Figure 3
Cholangiogram showing large bile duct stone with 2 parallel radiopaque line shadows (arrow) within the stone suggestive of surgical clips.
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5. Figure 4
Extracted bile duct stone with 3 embedded surgical clips (arrow) in the duodenal lumen.
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6. Figure 5 Extracted stone with clips outside the GI lumen.
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7. Figure 6 Dislodged clips from the stone.
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