Cutaneous bile fistula treated with ERCP-placed large diameter stent

Endoscopic retrograde cholangiopancreatography (ERCP) with placement of endobiliary prostheses has become an important means of treatment for obstructing lesions of the biliary tract especially since the advent of therapeutic endoscopes capable of placing large diameter stents. A case is presented in which a patient with a cutaneous bile fistula responded overnight to endoscopic placement of a large diameter endobiliary prosthesis.