Uneventful Endoscopic Retrieval of a Cannibalized Aortic Trouser Graft

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Figure 1A 60-year-old man with bilateral amputations presented in November 1999 with mild hemiparesis and microcytic anaemia. At routine gastroscopy, a gallstone-like object was seen to fill the distal duodenal bulb. This was snared and, upon retrieval, the abdominal portion of a Dacron aortic trouser graft followed. The patient made an uneventful recovery and returned to a normal diet. The figure shows that the distal portion of the graft, previously inserted with recovery of pedal pulses in 1988, had migrated into the duodenum and had become bile-encrusted.