case_images: PMC5516759_01
case_images: Impacted gallstone in duodenum.
case_images: CRIGM2017-6918905.001.jpg
case_images: PMC5516759_01_CRIGM2017-6918905.001.jpg
case_images: fig1
case_images: An esophagogastroduodenoscopy (EDG) was performed revealing a large duodenal bulb ulcer with a stone lodged in it (Figure 1).
case_images: Choledochoduodenal fistula at the base of ulcer.
case_images: CRIGM2017-6918905.002.jpg
case_images: PMC5516759_01_CRIGM2017-6918905.002.jpg
case_images: fig2
case_images: The ulcer was 1.5 x 0.5 cm and the suspected choledochoduodenal fistula was identified (Figure 2).
case_images: Stone in lithotripter.
case_images: CRIGM2017-6918905.003.jpg
case_images: PMC5516759_01_CRIGM2017-6918905.003.jpg
case_images: fig3
case_images: Thus, it was mechanically crushed into 2 pieces using a biliary mechanical lithotripter and extracted (Figure 3).
case_images: Broken gallstone.
case_images: CRIGM2017-6918905.004.jpg
case_images: PMC5516759_01_CRIGM2017-6918905.004.jpg
case_images: fig4
case_images: The stone measured 2.5 x 3 cm in diameter (Figure 4).