Cut Guide Wire During Endoscopic Sphincterotomy

Figure 1 A 67-year-old man with cancer of the pancreatic head was admitted to our endoscopic retrograde cholangiopancreatography (ERCP) unit for biliary decompression. The biliary system was canalized using a guide wire (0.021-inch Black Wire, Bard Angiomed, Germany), and endoscopic sphincterotomy was then performed over the same guide wire. At the end of the sphincterotomy, it was noted that the guide wire had been cut in the common bile duct

Figure 2 The tip of guide wire, which was in the common bile duct, was brought out through the papilla with the help of a stone extraction balloon catheter

Figure 3 The tip of the guide wire in the duodenum was grasped with a snare loop and removed

Figure 4 The tip of the guide wire in the duodenum was grasped with a snare loop and removed