case_images: PMC10772237_01
case_images: CT scan of the abdomen and pelvis showing artially-calcified gallstone(s) at the level of the superior duodenal flexure following cholecysto-duodenal fistulation causing upstream dilatation of the stomach suggestive of partial obstruction.
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case_images: PMC10772237_01_gr1.jpg
case_images: f0005
case_images: An urgent CT scan of the abdomen and pelvis showed a 2.8 cm partially-calcified gallstone (s) at the level of the superior duodenal flexure (Fig. 1A and B) following cholecysto-duodenal fistulation causing upstream dilatation of the stomach suggestive of partial obstruction, and some free air in the pericholecystic space.
case_images: Endoscopy view showing several large, mixed soft and hard gallstones packing the duodenal bulb with the mechanical lithotripsy basket that was able to engage and crush the hard, or solid component of the impacted gallstones.
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case_images: PMC10772237_01_gr2.jpg
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case_images: Initial findings revealed several large, mixed soft and hard gallstones packing the duodenal bulb (Fig. 2A, B, and C).
case_images: PMC10772237_02
case_images: CT scan of abdomen and pelvis showing gastric outlet obstruction secondary to a large gallstone at the duodenal bulb.
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case_images: PMC10772237_02_gr3.jpg
case_images: f0015
case_images: Upon admission an urgent CT scan of the abdomen and pelvis was done, that showed gastric outlet obstruction secondary to a large gallstone at the duodenal bulb (Fig. 3A and B).