Abstract
An 87-year-old woman developed anorexia and jaundice. Contrast-enhanced computed tomography revealed a tumor of the duodenal papillae. Percutaneous transhepatic biliary drainage was performed instead of transpapillary biliary drainage due to stenosis of the duodenum. She complained of pain at the insertion site of the percutaneous drainage tube, and endoscopic ultrasonography-guided choledochoduodenostomy (EUS-CDS) was performed. A duodenal stent was placed 3 days later. The percutaneous biliary drainage tube was removed, and her recovery was uneventful. She was subsequently discharged. No further treatment for biliary or gastrointestinal tract system was needed. She died 146 days after EUS-CDS.
