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Percutaneous coronary intervention (PCI) is an universally accepted and standardized procedure for obstructive coronary artery diseases with minimal complication rates, including iatrogenic coronary artery perforation (CAP). Most of the coronary perforations present earlier during the time of procedure or immediately after the procedure. Delayed presentation is very rare and presents within days or weeks. The present case showed the delayed atypical presentation of stent extrusion as a swelling in the right hypochondrium three years after the procedure. This is a rare case of long standing right coronary artery stent extrusion presented atypically as a right hypochondrial swelling.