public static int FindDuplicateImagesCount(string pdfFileName)
        {
            int count = 0;
            var pdf = new PdfReader(pdfFileName);

            var md5 = new MD5CryptoServiceProvider();
            var enc = new UTF8Encoding();
            var imagesHashList = new List<string>();

            int intPageNum = pdf.NumberOfPages;
            for (int i = 1; i <= intPageNum; i++)
            {
                var page = pdf.GetPageN(i);
                var resources = PdfReader.GetPdfObject(page.Get(PdfName.RESOURCES)) as PdfDictionary;
                if (resources == null) continue;

                var xObject = PdfReader.GetPdfObject(resources.Get(PdfName.XOBJECT)) as PdfDictionary;
                if (xObject == null) continue;

                foreach (var name in xObject.Keys)
                {
                    var pdfObject = xObject.Get(name);
                    if (!pdfObject.IsIndirect()) continue;

                    var imgObject = PdfReader.GetPdfObject(pdfObject) as PdfDictionary;
                    if (imgObject == null) continue;

                    var subType = PdfReader.GetPdfObject(imgObject.Get(PdfName.SUBTYPE)) as PdfName;
                    if (subType == null) continue;

                    if (!PdfName.IMAGE.Equals(subType)) continue;

                    byte[] imageBytes = PdfReader.GetStreamBytesRaw((PRStream)imgObject);
                    var md5Hash = enc.GetString(md5.ComputeHash(imageBytes));

                    if (!imagesHashList.Contains(md5Hash))
                    {
                        imagesHashList.Add(md5Hash);
                    }
                    else
                    {
                        Console.WriteLine("Found duplicate image @page: {0}.", i);
                        count++;
                    }
                }
            }

            pdf.Close();
            return count;
        }

    public class PdfSmartCopy2 : PdfSmartCopy
    {
        public PdfSmartCopy2(Document document, Stream os)
            : base(document, os)
        { }

        /// <summary>
        /// This is a forgotten feature in iTextSharp 5.3.4. 
        /// Actually its PdfSmartCopy is useless without this!
        /// </summary>
        protected override PdfIndirectReference CopyIndirect(PRIndirectReference inp, bool keepStructure, bool directRootKids)
        {
            return base.CopyIndirect(inp);
        }
    }

        public static void RemoveDuplicateObjects(string inFile, string outFile)
        {
            var document = new Document();
            var copy = new PdfSmartCopy2(document, new FileStream(outFile, FileMode.Create));
            document.Open();

            var reader = new PdfReader(inFile);

            var n = reader.NumberOfPages;
            for (int page = 0; page < n; )
            {
                copy.AddPage(copy.GetImportedPage(reader, ++page));
            }
            copy.FreeReader(reader);            

            document.Close();
        }

        private static void CreateTestFile()
        {
            using (var pdfDoc = new Document(PageSize.A4))
            {
                var pdfWriter = PdfWriter.GetInstance(pdfDoc, new FileStream("Test.pdf", FileMode.Create));
                pdfDoc.Open();

                var table = new PdfPTable(new float[] { 1, 2 });
                table.AddCell(Image.GetInstance("01.png"));
                table.AddCell(Image.GetInstance("01.png"));
                pdfDoc.Add(table);
            }
        }