case_images: PMC11752466_01
case_images: X-ray and Endoscopic findings. A: Abdominal X-ray image showing pneumobilia of the intrahepatic and extrahepatic bile ducts (arrows); B: Endoscopy revealing a large gallstone in the gastric pylorus leading to gastric outlet obstruction.
case_images: 101534-g001.jpg
case_images: PMC11752466_01_101534-g001.jpg
case_images: F1
case_images: Esophagogastroduodenoscopy revealed a brown and black stone measuring approximately 3030 mm in diameter in the gastric pylorus, incompletely obstructing the gastric outlet (Figure 1).
case_images: Computed tomography. A: Coronal computed tomography (CT) scan showing pneumobilia (asterisk) and a cholecystogastric fistula (arrowhead) with a large gallstone in the gastric antrum (arrows); B: Axial CT scan showing chronic cholecystitis with a gas-filled gallbladder and gallstones in the gastric antrum (arrow).
case_images: 101534-g002.jpg
case_images: PMC11752466_01_101534-g002.jpg
case_images: F2
case_images: The gastric antrum wall and gallbladder wall were edematous and thickened (Figure 2).