Endoscopic resolution of acute cholecystitis secondary to biliary fully covered metal stent

A 67-year-old man, with history of alcoholic chronic pancreatitis (CP), presented in the emergency department with intense pain in the right hypochondrium, and fever. Six months before, he underwent an endoscopic retrograde cholangiopancreatography (ERCP) with placement of a single plastic stent (8.5 Fr), for treatment of a common bile duct (CBD) stricture secondary to the CP. Four days before presentation, another ERCP was performed and the plastic stent was removed, and replaced for a fully covered self-expandable metal stents (FC-SEMS) [Evolution® Biliary, nitinol made, 60x10 mm (Cook Medical, Bloomington, Indiana, USA)], due to persistence of the CBD stricture, and the inability to place multiple plastic stents.