case_images: PMC6636471_01
case_images: Plain abdominal X-ray: an irregular calcified structure in the right midabdomen.
case_images: CRIS2019-7067240.001.jpg
case_images: PMC6636471_01_CRIS2019-7067240.001.jpg
case_images: fig1
case_images: Plain abdominal X-ray showed an irregular partially rim calcified focus in the right midabdomen and absence of air in the distal bowel (Figure 1).
case_images: (a) TC axial view: gallstone obstructing the duodenum. (b) TC coronal view: gallstone obstructing the duodenum. Gastric distention. (c) TC coronal view: alteration of the planes surrounding the gallstone and limited pneumobilia.
case_images: CRIS2019-7067240.002.jpg
case_images: PMC6636471_01_CRIS2019-7067240.002.jpg
case_images: fig2
case_images: Computed tomography of the abdomen revealed a multilithiasic gallbladder with alteration of the surrounding fatty tissue, pneumobilia, gastric distention, and a 45 mm x 32 mm calcic stone located in the duodenal bulb (Figure 2).
case_images: Fluoroscopic study: progression of the contrast through the duodenum without any leaks.
case_images: CRIS2019-7067240.003.jpg
case_images: PMC6636471_01_CRIS2019-7067240.003.jpg
case_images: fig3
case_images: On postoperative day (POD) 4, we performed a fluoroscopic contrast study showing no leaks or obstructions to the passage of the contrast solution (Figure 3).