PMC5526511_01
Dilated proximal small bowel, and obstructing gallstone milked back towards proximal enterostomy.
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PMC5526511_01_gr1.jpg
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A proximal enterostomy was made (Fig. 1), and the gallstone milked back and removed.
Removal of obstructing gallstone from enterostomy with clear squared off side.
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PMC5526511_01_gr2.jpg
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Upon extraction it was found to have a squared off side (Fig. 2) raising the suspicion of a retained proximal intraluminal fragment.
Proximal fragment (left) and main obstructing gallstone (right).
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PMC5526511_01_gr3.jpg
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This corresponding piece of the original stone was identified proximal to the enterostomy, and was removed (Fig. 3).