case_images: PMC3889000_01
case_images: An erect chest radiograph: No evidence of air beneath the diaphragm
case_images: JSTCR-5-27-g001.jpg
case_images: PMC3889000_01_JSTCR-5-27-g001.jpg
case_images: F1
case_images: An erect chest radiograph was normal with no evidence of subdiaphragmatic air [Figure 1].
case_images: Abdominal radiograph: Central, dilated loops of small bowel (white arrow). Note the plicae circulares or valvulae conniventes (yellow arrow), a feature of small bowel, which confirms that the dilated structure is small bowel. Some loops measure 64 mm in diameter. There is no gas within the large bowel suggesting a complete or nearly complete mechanical small bowel obstruction
case_images: JSTCR-5-27-g002.jpg
case_images: PMC3889000_01_JSTCR-5-27-g002.jpg
case_images: F2
case_images: Abdominal radiograph showed dilated small bowel loop in the central of abdomen [Figure 2].
case_images: Axial CT image of the upper abdomen: There is diffuse pneumobilia (black arrow)
case_images: JSTCR-5-27-g003.jpg
case_images: PMC3889000_01_JSTCR-5-27-g003.jpg
case_images: F3
case_images: CT examination of the abdomen and pelvis showed findings consistent with proximal small bowel obstruction, pneumobilia located in the right hepatic lobe [Figure 3], and a gallstone in the distal small bowel [Figure 4].
case_images: Axial CT image of the pelvis: There is a calculus (white arrow) identified within the small bowel lumen. Note the presence of both dilated and non-dilated small bowel
case_images: JSTCR-5-27-g004.jpg
case_images: PMC3889000_01_JSTCR-5-27-g004.jpg
case_images: F4
case_images: CT examination of the abdomen and pelvis showed findings consistent with proximal small bowel obstruction, pneumobilia located in the right hepatic lobe [Figure 3], and a gallstone in the distal small bowel [Figure 4].
case_images: Numerous gallstones retrieved from small bowel lumen
case_images: JSTCR-5-27-g005.jpg
case_images: PMC3889000_01_JSTCR-5-27-g005.jpg
case_images: F5
case_images: Numerous small bowel stones [Figure 5] of variable size were "milked" distally.
case_images: The largest gallstone measuring 3.5 cm in diameter
case_images: JSTCR-5-27-g006.jpg
case_images: PMC3889000_01_JSTCR-5-27-g006.jpg
case_images: F6
case_images: The largest stone measured 3.5 cm in diameter was retrieved from the small bowel lumen [Figure 6].